Individual
SHANNON LINDOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
520 2ND ST, CORDOVA, AK 99574
(907) 429-7797
Mailing address
PO BOX 1612, CORDOVA, AK 99574-1612
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0021393
CO
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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