Individual
MRS. SHANONN HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6030 SOUTHARD TRCE UNIT 404, CUMMING, GA 30040-6343
(404) 210-1906
Mailing address
6030 SOUTHARD TRCE UNIT 404, CUMMING, GA 30040-6343
(404) 210-1906
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MA94696
FL
225700000X
Massage Therapist
Primary
MT003066
GA
Other
Enumeration date
02/15/2021
Last updated
02/15/2021
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