Individual
SHANNON HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29746 WOODS DR, EVERGREEN, CO 80439-7540
(720) 298-7308
Mailing address
29746 WOODS DR, EVERGREEN, CO 80439-7540
(720) 298-7308
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0009266
CO
Other
Enumeration date
08/10/2014
Last updated
08/10/2014
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