Individual
MRS. SHANNON E MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CLT
Contact information
Practice address
279 CENTRAL PARK W, NEW YORK, NY 10024-3080
(212) 877-1711
Mailing address
60 RIVERSIDE DR APT 1F, NEW YORK, NY 10024-6164
(773) 673-0596
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
03353701
NY
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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