Individual provider · Type 1 NPI
Shannon Lynn Smith
Massage Therapist · Plymouth, MI
NPI number
1104308014
Active
Practice location
15131 Northville Rd
Plymouth, MI 48170-2548
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 7501002581 (MI) |
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 1104308014
Shannon Lynn Smith's National Provider Identifier is 1104308014, issued on Sep 6, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Plymouth, MI. The record was last updated on Sep 6, 2018.