Doctor Name: | MRS. CONNIE MARTHA SHEA |
NPI Number: | 1033302963 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.T. |
License Number: | MA16262 |
Business Practice Address: | 2704 Ne 25th St Ocala Msi Center For Pain Relief Llc Ocala, FL - 344703985 |
Business Phone Number: | 3522093054 |
Business Fax Number: | 3522915004 |
Mailing Address: | 2704 Ne 25th St, Ocala Msi Center For Pain Relief Llc OCALA |
State: | FL |
Postal Code: | 344703985 |
Phone Number: | 3522093054 |
Fax Number: | 3522915004 |
NPI Enumeration Date: | 08/23/2007 |
NPI Last Update Date: | 01/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA16262 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy 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. |