Individual provider · Type 1 NPI
Jeoung Gyu Shin, L.M.T.
Specialist · Clearwater, FL
NPI number
1376789826
Active
Practice location
2707 E Grand Reserve Cir, #1437
Clearwater, FL 33759-4919
Mailing address
2707 East Grand Reserve Circle, #1437
Clearwater, FL 33759
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MA46774 (FL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1376789826
Jeoung Gyu Shin, L.M.T.'s National Provider Identifier is 1376789826, issued on Jan 5, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Clearwater, FL. The record was last updated on Jan 5, 2009.