Individual
SHANNON GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
526 S CREYTS RD, LANSING, MI 48917-8263
(727) 385-7609
Mailing address
126 E MASON ST, LANSING, MI 48910-4521
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501011702
MI
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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