Most Relevant Information
Provider Data
| NPI Number: | 1003539644 |
| Provider Name: | SHAUN ENGLISH WEAKLEY LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MT.0018186 |
Most Important Dates
| Enumeration Date: | 09/20/2022 |
| Last Updated: | 09/20/2022 |
Provider Practice Location
108 W 5TH ST
PUEBLO
CO
810033118
Practice Location Phone/Fax
| Phone: | 7196218374 |
| Fax: |
Provider Mailing Location
108 W 5TH ST
PUEBLO
CO
810033118
Provider Mailing Phone/Fax
| Phone: | 7196218374 |
| Fax: |