Individual provider · Type 1 NPI
Beth Shannon, L.M.T
Massage Therapist · Atlanta, GA
NPI number
1013374446
Active
Practice location
214 Ponce De Leon Ave NE, Ste 1
Atlanta, GA 30308-1910
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Reflexologist | 173C00000X | MT009847 (GA) |
| Massage Therapist Primary | 225700000X | MT009847 (GA) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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About NPI 1013374446
Beth Shannon, L.M.T's National Provider Identifier is 1013374446, issued on Jan 14, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Atlanta, GA. The record was last updated on Jan 14, 2016.