Shannon Drake

NPI #1184141194 in Montgomery, Ohio

Provider Information

NPI Number: 1184141194
Entity Type: Individual
Name: Shannon Drake
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Enumeration Date: Aug 29, 2017
Last Updated: Aug 29, 2017

Practice Location

Address: 6200 PFEIFFER RD
City: Montgomery
State: Ohio
ZIP Code: 45242-5862
Phone: (513) 593-3061

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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