Individual
SHAWN MOSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
522 POPLAR DR, WILMETTE, IL 60091-2717
(847) 256-7708
Mailing address
522 POPLAR DR, WILMETTE, IL 60091-2717
(847) 256-7708
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227012907
IL
Other
Enumeration date
04/15/2020
Last updated
04/15/2020
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