Individual provider · Type 1 NPI
Shannon Michelle Whitehead, LMT, CNMT
Massage Therapist · Colorado Springs, CO
NPI number
1013512235
Active
Practice location
5180 N Union Blvd # 209
Colorado Springs, CO 80918-2000
Mailing address
919 Rancher Dr
Fountain, CO 80817-4113
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT.0023537 (CO) |
Massage Therapist: 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.
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About NPI 1013512235
Shannon Michelle Whitehead, LMT, CNMT's National Provider Identifier is 1013512235, issued on Dec 4, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Colorado Springs, CO. The record was last updated on Dec 4, 2020.