Individual provider · Type 1 NPI

Shannon Fernandes, C.M.T., C.R.

Massage Therapist · Modesto, CA

NPI number 1285316950 Active

Practice location

1101 Standiford Ave Ste B6
Modesto, CA 95350-0981

Call (209) 484-5683 Map

Mailing address

3628 Northern Dancer Dr
Modesto, CA 95355-8456

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X18345 (CA)

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 1285316950

Shannon Fernandes, C.M.T., C.R.'s National Provider Identifier is 1285316950, issued on Aug 2, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Modesto, CA. The record was last updated on Aug 2, 2023.