Individual
MRS. SHANN LOURRAINE LEATHERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT, HHP
Contact information
Practice address
2510 SW CAPITAL AVE, SUITE104, BATTLE CREEK, MI 49015-4046
(269) 209-6084
(269) 979-2026
Mailing address
5159 E PARADISE RD, BATTLE CREEK, MI 49014-8333
(269) 209-6084
(269) 979-2026
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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