Individual
JOSEPH M SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
11431 BUSINESS BLVD STE 601, EAGLE RIVER, AK 99577-7738
(907) 694-7700
Mailing address
11431 BUSINESS BLVD STE 601, EAGLE RIVER, AK 99577-7738
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
194372
AK
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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