Individual
SHANNON WILKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MMP
Contact information
Practice address
125 N 8TH ST, 19, GRAND JUNCTION, CO 81501-3530
(970) 260-7638
Mailing address
3156 LAKESIDE DR, 303, GRAND JUNCTION, CO 81506-2859
(970) 260-7638
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT0003987
CO
Other
Enumeration date
02/12/2016
Last updated
02/12/2016
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