Individual
SHANNON MARIE MITTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1624 US HIGHWAY 395 N, SUITE #1, MINDEN, NV 89423-4326
(541) 324-0499
Mailing address
1624 US HIGHWAY 395 N, SUITE #1, MINDEN, NV 89423-4326
(541) 324-0499
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5848
NV
Other
Enumeration date
10/05/2012
Last updated
10/05/2012
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