Individual provider · Type 1 NPI

Shannon E. Martin, LMT, CLT

Massage Therapist · New York, NY

NPI number 1134094022 Active

Practice location

279 Central Park W
New York, NY 10024-3080

Call (212) 877-1711 Map

Mailing address

60 Riverside Dr Apt 1F
New York, NY 10024-6164

Other practice locations

  • 302 W 79th St, New York, NY 10024-6114 · (773) 673-0596

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X03353701 (NY)

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 1134094022

Shannon E. Martin, LMT, CLT's National Provider Identifier is 1134094022, issued on Oct 9, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in New York, NY. The record was last updated on Oct 9, 2025.