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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT.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.