Provider Demographics
NPI:1649540857
Name:MAY, SHANNON RACHELLE (ND, LAC)
Entity type:Individual
Prefix:DR
First Name:SHANNON
Middle Name:RACHELLE
Last Name:MAY
Suffix:
Gender:F
Credentials:ND, LAC
Other - Prefix:
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Mailing Address - Street 1:2420 CHAMBERSBURG AVE
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55811-3204
Mailing Address - Country:US
Mailing Address - Phone:218-409-4767
Mailing Address - Fax:612-235-3323
Practice Address - Street 1:31 W SUPERIOR ST
Practice Address - Street 2:SUITE 501
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55802-2063
Practice Address - Country:US
Practice Address - Phone:218-409-4767
Practice Address - Fax:612-235-3323
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-04
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN1592171100000X
OR1837175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist