Individual
LEAH SHADWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
4101 MEDICAL PKWY, SUITE 204, AUSTIN, TX 78756-3734
(512) 761-6719
Mailing address
4101 MEDICAL PKWY, SUITE 204, AUSTIN, TX 78756-3734
(512) 761-6719
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01379
TX
Other
Enumeration date
03/05/2013
Last updated
03/05/2013
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