Individual
MRS. SHANNON MARIE NEVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
24304 NYS RTE 37, WATERTOWN, NY 13601-5870
(315) 785-9588
Mailing address
24304 NYS RTE 37, WATERTOWN, NY 13601-5870
(315) 785-9588
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
015815
NY
Other
Enumeration date
06/05/2017
Last updated
07/21/2022
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