Individual provider · Type 1 NPI

Shannon Michelle Innis-Gielissen, CMP, AIMI, CYI

Massage Therapist · Aptos, CA

NPI number 1386005916 Active

Practice location

6108 Jason Ct
Aptos, CA 95003-6012

Call (831) 419-7552 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X24270 (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 1386005916

Shannon Michelle Innis-Gielissen, CMP, AIMI, CYI's National Provider Identifier is 1386005916, issued on Mar 9, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Aptos, CA. The record was last updated on Mar 9, 2016.