Individual
TIMOTHY MICHAEL SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
75 GREAT RD STE 213, ACTON, MA 01720-5678
(603) 812-1927
Mailing address
7 MAGNOLIA DR, ACTON, MA 01720-5615
(603) 812-1927
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9132
MA
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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