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

TaxonomyCodeLicense
Specialist Primary 174400000XMA46774 (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.