Individual provider · Type 1 NPI

Shannon Solomon, LMT

Massage Therapist · Boulder, CO

NPI number 1245629567 Active

Practice location

1800 30th St, Suite 210-J
Boulder, CO 80301-1088

Mailing address

1063 Yale Cir
Boulder, CO 80305-6406

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X0015363 (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 1245629567

Shannon Solomon, LMT's National Provider Identifier is 1245629567, issued on Jan 12, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Boulder, CO. The record was last updated on Jan 12, 2015.