Individual
HEATHER SHANNON CANTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3704 HIGHWAY 90, MARIANNA, FL 32446-8914
(850) 557-6078
Mailing address
4311 LAKEWOOD DR, MARIANNA, FL 32448-5437
(850) 557-6078
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA73772
FL
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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