Individual provider · Type 1 NPI

Shannaw Dale Martin, LMT

Massage Therapist · Westminster, CO

NPI number 1508393380 Active

Practice location

8093 Raleigh St
Westminster, CO 80031-4313

Mailing address

PO Box 362
Dupont, CO 80024-0362

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT.0003584 (CO)

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 1508393380

Shannaw Dale Martin, LMT's National Provider Identifier is 1508393380, issued on May 11, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Westminster, CO. The record was last updated on May 11, 2017.