Individual
SHANNEL FOXWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
133 W SEYMOUR ST FL 2, PHILADELPHIA, PA 19144-3639
(267) 584-9536
Mailing address
133 W SEYMOUR ST FL 2, PHILADELPHIA, PA 19144-3639
(267) 584-9536
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG012643
PA
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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