Individual
SHANNAN DAYE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3700 W 15TH ST STE 302A, PLANO, TX 75075-7715
(469) 666-4415
Mailing address
3700 W 15TH ST STE 302A, PLANO, TX 75075-7715
(469) 666-4415
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT135376
TX
Other
Enumeration date
11/12/2021
Last updated
07/16/2023
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