Individual
MARCI SHANNON WESEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3936 SE 18TH TER, OKEECHOBEE, FL 34974-7355
(863) 634-4815
Mailing address
11459 NE 3RD CIR, OKEECHOBEE, FL 34972-8372
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA59492
FL
Other
Enumeration date
10/06/2010
Last updated
10/06/2010
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