Individual
SHANNON MCMANUS KOHNLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
933 BARBEE FARM DR, MONROE, NC 28110-5606
(704) 517-2279
Mailing address
933 BARBEE FARM DR, MONROE, NC 28110-5606
(704) 517-2279
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11589
NC
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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