Individual
SHANNON ELIZABETH BRICKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3951 W PARMER LN STE 300, AUSTIN, TX 78727-4126
(512) 339-2663
Mailing address
1005 LONESOME LILLY WAY, PFLUGERVILLE, TX 78660-5455
(512) 660-2990
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
114411
TX
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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