| Shannon Lynn Smith, | |
|
15131 Northville Rd, Plymouth, MI 48170-2548 | |
| (734) 309-1103 | |
| Not Available |
| Full Name | Shannon Lynn Smith |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 15131 Northville Rd, Plymouth, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104308014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 7501002581 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Lynn Smith, 15131 Northville Rd, Plymouth, MI 48170-2548 Ph: (734) 309-1103 | Shannon Lynn Smith, 15131 Northville Rd, Plymouth, MI 48170-2548 Ph: (734) 309-1103 |
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