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Shonda R Cannon, LMT
Massage Therapist in Phoenix, Oregon
NPI 1386274157

Shonda R Cannon is a Massage Therapist based in Phoenix, OR. Shonda R Cannon practices in Phoenix, OR and has the professional credentials of LMT. The NPI Number for Shonda R Cannon is 1386274157 and holds a License No. 24313 (Oregon).

The current practice location address for Shonda R Cannon is 101 Chelsea Ct, Phoenix, OR and can be reached out via phone at 541-497-0136.

Location: 101 Chelsea Ct, Phoenix, OR, 97535-5738
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386274157
Provider Name
Shonda R Cannon
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
101 Chelsea Ct, Phoenix, OR, 97535-5738
Phone Number
541-497-0136
Fax Number
Provider Enumeration Date
01/21/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Chelsea Ct
City
Phoenix
State
Oregon
Zip
97535-5738
Phone Number
541-497-0136
Fax Number
person
Provider Business Mailing Address Details
Address
101 Chelsea Ct
City
Phoenix
State
Oregon
Zip
97535-5738
Phone Number
541-497-0136
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
24313 (Oregon)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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