Individual
SHANNON LEE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
3189 W CALYPSO CT, CASTLE ROCK, CO 80109-2826
(720) 296-9182
Mailing address
3189 W CALYPSO CT, CASTLE ROCK, CO 80109-2826
(720) 296-9182
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3098
CO
Other
Enumeration date
12/29/2009
Last updated
12/29/2009
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