Individual
SHANNON WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7266 PORTAGE ST NW, MASSILLON, OH 44646-7986
(330) 818-1212
Mailing address
7266 PORTAGE ST NW, MASSILLON, OH 44646-7986
(330) 818-1212
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33011711T-Z
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33011711T-Z
LMT
—
Enumeration date
12/20/2019
Last updated
12/20/2019
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