Individual
SHANNON L. TETTEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1509 E MARQUETTE RD APT 1W, CHICAGO, IL 60637-6470
(312) 927-0606
Mailing address
1507 E 53RD ST # 297, CHICAGO, IL 60615-4573
(312) 927-0606
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227012219
IL
Other
Enumeration date
03/20/2021
Last updated
03/20/2021
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