Individual
MS. SHANNON L LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
614 E SELTICE WAY STE A, POST FALLS, ID 83854-6367
(208) 640-1117
(208) 777-9100
Mailing address
614 E SELTICE WAY STE A, POST FALLS, ID 83854-6367
(208) 640-1117
(208) 777-9100
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00011066
WA
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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