Individual
MRS. ELISE A. SHANER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.B.T.
Contact information
Practice address
2224 LACY ST, BURLINGTON, NC 27215-5341
(336) 228-0112
(336) 228-6994
Mailing address
2224 LACY ST, BURLINGTON, NC 27215-5341
(336) 228-0112
(336) 228-6994
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
105
NC
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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