Individual
MRS. SHANNON MARIE RICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13107 ASHLAWN DR, LOUISVILLE, KY 40272-1705
(502) 299-0932
Mailing address
13107 ASHLAWN DR, LOUISVILLE, KY 40272-1705
(502) 299-0932
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1082
KY
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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