Shannon Bultena, LMT

NPI #1538945282 in Ocklawaha, Florida

Provider Information

NPI Number
1538945282
Entity Type
Individual
Name
Shannon Bultena, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Sep 7, 2023
Last Updated
Sep 7, 2023

Practice Location

Address
5000 SE 183RD AVENUE RD
State
Florida
ZIP Code
32179-3339
Phone
(720) 240-3696

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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