Marcus Shamblin

NPI #1073282125 in Montgomery, Illinois

Provider Information

NPI Number: 1073282125
Entity Type: Individual
Name: Marcus Shamblin
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Sep 11, 2021
Last Updated: Sep 11, 2021

Practice Location

Address: 87 SAUGATUCK RD
City: Montgomery
State: Illinois
ZIP Code: 60538-2441
Phone: (815) 341-1663

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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