Individual
SHANNA HEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4905 MCCLURE RD, CHARLOTTE, NC 28216-7811
(704) 222-5345
Mailing address
4905 MCCLURE RD, CHARLOTTE, NC 28216-7811
(704) 222-5345
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20850
NC
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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