Individual
SHANNON MICHELLE LIPSTEUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
801 MASTER ST, CORBIN, KY 40701-1026
(606) 304-8294
Mailing address
801 MASTER ST, CORBIN, KY 40701-1026
(606) 304-8294
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
KY-4269
KY
Other
Enumeration date
01/21/2012
Last updated
01/21/2012
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