Individual
SHANNON RENE' HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
904 GREENSBURG ST, COLUMBIA, KY 42728-1805
(270) 384-4501
Mailing address
904 GREENSBURG ST, COLUMBIA, KY 42728-1805
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
05/27/2022
Last updated
05/27/2022
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