Shannon Marie Reissman, LMT

NPI #1619290855 in Gulfport, Florida

Provider Information

NPI Number: 1619290855
Entity Type: Individual
Name: Shannon Marie Reissman, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Mar 2, 2010
Last Updated: Mar 2, 2010

Practice Location

Address: 2321 49TH ST S
Address 2: SUITE C
City: Gulfport
State: Florida
ZIP Code: 33707-5118
Phone: (727) 391-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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