Individual
MS. SHANNON LEIGH CHRISTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
100 BURNSED PL, SUITE 1020, OVIEDO, FL 32765-6695
(407) 971-3898
(407) 971-3840
Mailing address
2011 DONEGAN PL, ORLANDO, FL 32826-4300
(407) 382-9127
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA 47460
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA 47460
MASSAGE THERAPIST
FL
Enumeration date
05/09/2007
Last updated
07/08/2007
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