Shannon Beth Booth, LMT

NPI #1992930028 in Kenmore, New York

Provider Information

NPI Number: 1992930028
Entity Type: Individual
Name: Shannon Beth Booth, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: May 19, 2009
Last Updated: May 19, 2009

Practice Location

Address: 1223 MILITARY RD
City: Kenmore
State: New York
ZIP Code: 14217-1832
Phone: (716) 807-2221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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