Glorioso, Shannon

Glorioso, Shannon is an individual health care provider with primary practice located at 11371 Niagara St , Thornton CO 80233-5542. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Glorioso, Shannon can be contacted via phone (312) 351-5245.

Contact Information

Primary practice address
11371 Niagara St Thornton CO 80233-5542
Phone: (312) 351-5245
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 0015496 Colorado

Profile Details

NPI number 1578964862
LBN Legal business name Glorioso, Shannon
Credentials L.M.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2014
Last updated Sep 6th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578964862 NPPES
Colorado Other MT.0015496 STATE LICENSE

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