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Shannon Boczkowski
Massage Therapist in Warren, Michigan
NPI 1770033110

Shannon Boczkowski is a Massage Therapist based in Warren, MI. Shannon Boczkowski practices in Warren, MI. The NPI Number for Shannon Boczkowski is 1770033110 and holds a License No. 7501007839 (Michigan).

The current practice location address for Shannon Boczkowski is 30521 Schoenherr Rd, Warren, MI and can be reached out via phone at 248-605-8581. You can also correspond with Shannon Boczkowski through the mailing address at 30521 SCHOENHERR RD, WARREN, MI - 48088-3161 (mailing address contact number: 248-605-8581).

Location: 30521 Schoenherr Rd, Warren, MI, 48088-3161
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770033110
Provider Name
Shannon Boczkowski
Credential
Provider Entity Type
Individual
Gender
Female
Address
30521 Schoenherr Rd, Warren, MI, 48088-3161
Phone Number
248-605-8581
Fax Number
Provider Enumeration Date
10/10/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
30521 Schoenherr Rd
City
Warren
State
Michigan
Zip
48088-3161
Phone Number
248-605-8581
Fax Number
person
Provider Business Mailing Address Details
Address
30521 Schoenherr Rd
City
Warren
State
Michigan
Zip
48088-3161
Phone Number
248-605-8581
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
7501007839 (Michigan)
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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