Individual provider · Type 1 NPI

Shannon M. Kenneally, LMP

Massage Therapist · Silverdale, WA

NPI number 1174858898 Active

Practice location

3595 NW Bucklin Hill Rd
Silverdale, WA 98383-8503

Fax (360) 692-1441

Mailing address

PO Box 483
Silverdale, WA 98383-0483

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60106210 (WA)

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 1174858898

Shannon M. Kenneally, LMP's National Provider Identifier is 1174858898, issued on Oct 14, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Silverdale, WA. The record was last updated on Oct 14, 2009.