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Shannon May Rose Brownell, LMT

Massage Therapist in Avon, CT. Individual provider (NPI-1).

NPI number1982302048
StatusActive
Last updated in NPPESFeb 20, 2023

Details

NPI
1982302048
Entity type
Individual (NPI-1)
Name
Shannon May Rose Brownell
Credential
LMT
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 20, 2023
Certification date
Oct 5, 2022
Last updated
Feb 20, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist9953CTYes

Practice location

28 Lakeview Blvd
Avon, CT 06001-3443

Phone 860-965-1280

Mailing address

28 Lakeview Blvd
Avon, CT 06001-3443

Phone 860-965-1280

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