Individual
SHALLON ANDREA CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T., R.C.R
Contact information
Practice address
1171 EAST HIGHWAY 11-E, SUITE 102, TALBOTT, TN 37877
(423) 737-8020
Mailing address
1171 EAST HIGHWAY 11-E, SUITE 103, TALBOTT, TN 37877
(423) 737-8020
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3283
TN
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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