Shawna Renae Galonda Herndon, LMT

NPI #1811517360 in Caseyville, Illinois

Provider Information

NPI Number: 1811517360
Entity Type: Individual
Name: Shawna Renae Galonda Herndon, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Apr 24, 2020
Last Updated: Apr 24, 2020

Practice Location

Address: 16 E REYNOLDS ST
City: Caseyville
State: Illinois
ZIP Code: 62232-1014
Phone: (618) 223-8333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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