Individual
SHANNON GIBNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
N52W24310 LISBON RD, PEWAUKEE, WI 53072-1440
(608) 548-2335
Mailing address
N52W24310 LISBON RD, PEWAUKEE, WI 53072-1440
(608) 548-2335
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13685-146
WI
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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