Individual
SHANNON SPRAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1525 W HIGH ST, BRYAN, OH 43506-2599
(419) 630-7290
Mailing address
1525 W HIGH ST, BRYAN, OH 43506-2599
(419) 630-7290
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33021540
OH
Other
Enumeration date
02/17/2016
Last updated
02/17/2016
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