Individual
SHANNON DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6200 PFEIFFER RD, MONTGOMERY, OH 45242-5862
(513) 593-3061
Mailing address
4471 THEODORE AVE, CINCINNATI, OH 45236-2737
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
020369
OH
Other
Enumeration date
08/29/2017
Last updated
08/29/2017
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