Shonda R Cannon, LMT

NPI #1386274157 in Phoenix, Oregon

Provider Information

NPI Number: 1386274157
Entity Type: Individual
Name: Shonda R Cannon, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jan 21, 2020
Last Updated: Jan 27, 2021

Practice Location

Address: 101 CHELSEA CT
City: Phoenix
State: Oregon
ZIP Code: 97535-5738
Phone: (541) 497-0136

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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