Individual
SHAN MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1111 W MOCKINGBIRD LN STE 640, DALLAS, TX 75247-5014
(945) 300-1600
(469) 828-1644
Mailing address
1111 W MOCKINGBIRD LN STE 640, DALLAS, TX 75247-5014
(945) 300-1600
(469) 828-1644
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT137536
TX
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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