Individual
SHANNON BETH BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1223 MILITARY RD, KENMORE, NY 14217-1832
(716) 807-2221
(716) 693-8923
Mailing address
84 STENZIL ST, NORTH TONAWANDA, NY 14120-6517
(716) 807-2221
(716) 693-8923
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
022059
NY
Other
Enumeration date
05/19/2009
Last updated
05/19/2009
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