Individual
MRS. SHANNON L NETTLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4695 WASHTENAW AVE, STUDIO 19, ANN ARBOR, MI 48108-1301
(517) 599-0225
Mailing address
6134 MAPLEVIEW LN, YPSILANTI, MI 48197-9479
(517) 599-0225
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501003718
MI
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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