Shanna Wade, LMT

NPI #1043884620 in Bangor, Pennsylvania

Provider Information

NPI Number: 1043884620
Entity Type: Individual
Name: Shanna Wade, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: May 18, 2021
Last Updated: May 18, 2021

Practice Location

Address: 32 MARKET ST
City: Bangor
State: Pennsylvania
ZIP Code: 18013-1902
Phone: (610) 452-9021

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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