Individual
MISS SHANNON KIM SWEENEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
3111 CLEARWATER DR, PRESCOTT, AZ 86305-7186
(928) 308-1053
Mailing address
3380 MARIGOLD DR, PRESCOTT, AZ 86305-3714
(928) 308-1053
(928) 778-5665
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-04194P
AZ
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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