Individual
SHANNON LEIGH CLARK D/B/A MASSAGE MATTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
15 OLD STAGE RD STE A, GREENEVILLE, TN 37745-3117
(423) 278-8168
Mailing address
1219 UPLAND AVE, GREENEVILLE, TN 37743-6641
(423) 278-8168
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8598
TN
Other
Enumeration date
07/14/2017
Last updated
03/17/2018
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