Individual
SHAKIRA ANN BALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
112 RAND PL, FRANKLIN, TN 37064-5531
(615) 533-5544
Mailing address
407 MAGNOLIA DR, FRANKLIN, TN 37064-2474
(615) 589-7473
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7544
TN
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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