Individual provider · Type 1 NPI
Michelle Shields, LMT
Massage Therapist · Newton, MA
NPI number
1417537192
Active
Practice location
2014 Washington St
Newton, MA 02462-1607
Fax (617) 219-1243
Mailing address
11 White Rd
Wayland, MA 01778-2416
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 10429 (MA) |
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 1417537192
Michelle Shields, LMT's National Provider Identifier is 1417537192, issued on Apr 8, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Newton, MA. The record was last updated on Apr 8, 2021.