Individual
SHANNON J KAMINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8405 W FOREST HOME AVE STE 102, GREENFIELD, WI 53228-3407
(414) 391-7129
(414) 220-9502
Mailing address
8405 W FOREST HOME AVE STE 102, GREENFIELD, WI 53228-3407
(414) 391-7129
(414) 220-9502
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13272-146
WI
Other
Enumeration date
03/18/2024
Last updated
06/12/2026
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