Individual
SHANNON STRONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
64 MAPLE ST STE 1, KENT, CT 06757-1721
(860) 248-0165
Mailing address
61 VALLEY RD, WARREN, CT 06777-2119
(860) 248-0165
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7718
CT
Other
Enumeration date
05/31/2019
Last updated
05/31/2019
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