Individual
SHANNON SOLOMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1800 30TH ST, SUITE 210-J, BOULDER, CO 80301-1088
(303) 709-2231
Mailing address
1063 YALE CIR, BOULDER, CO 80305-6406
(303) 709-2231
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0015363
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015363
MASSAGE THERAPY
CO
Enumeration date
01/12/2015
Last updated
01/12/2015
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