Individual
MS. KATHLEEN ANNE SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7866 W SAMPLE RD, MARGATE, FL 33065-4710
(954) 341-1770
Mailing address
8879 NW 21ST ST, CORAL SPRINGS, FL 33071-6167
(954) 815-0666
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA21129
FL
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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