Individual
MRS. GINA M SHANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3650 WEBBER ST STE E, SARASOTA, FL 34232-4413
(941) 927-6736
Mailing address
5102 CAMUS ST, SARASOTA, FL 34232-2344
(941) 232-0076
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA40432
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C3935
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/07/2007
Last updated
07/08/2007
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