Individual provider · Type 1 NPI

Shonda R. Cannon, LMT

Massage Therapist · Phoenix, OR

NPI number 1386274157 Active

Practice location

101 Chelsea Ct
Phoenix, OR 97535-5738

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X24313 (OR)

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 1386274157

Shonda R. Cannon, LMT's National Provider Identifier is 1386274157, issued on Jan 21, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Phoenix, OR. The record was last updated on Jan 27, 2021.