Goins-Blair, Shannon

Goins-Blair, Shannon is an sole proprietor health care provider with primary practice located at 2620 San Mateo Blvd Ne Ste E , Albuquerque NM 87110-3163. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is her primary health care specialty. Goins-Blair, Shannon can be contacted via phone (505) 554-1855.

Contact Information

Primary practice address
2620 San Mateo Blvd Ne Ste E Albuquerque NM 87110-3163
Phone: (505) 554-1855
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other 246Z00000X CLT
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 8941 New Mexico

Profile Details

NPI number 1841714292
LBN Legal business name Goins-Blair, Shannon
Credentials CLT-LANA, LMT, MA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2017
Last updated Aug 26th, 2022 - about 2 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 1841714292 NPPES
Other CLT KLOSE TRAINING - CERTIFIED LYMPHEDEMA THERAPIST
Other LANA KLOSE TRAINING - CERTIFIED LYMPHEDEMA THERAPIST
Other 8941 KLOSE TRAINING - CERTIFIED LYMPHEDEMA THERAPIST

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