Individual provider · Type 1 NPI

Shane Smith, MT22009

Massage Therapist · Rio Rancho, NM

NPI number 1457050577 Active

Practice location

1005 21st St SE Ste 9
Rio Rancho, NM 87124-4030

Call (505) 239-9644 Map

Fax (505) 896-2958

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT22009 (NM)

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 1457050577

Shane Smith, MT22009's National Provider Identifier is 1457050577, issued on Feb 27, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Rio Rancho, NM. The record was last updated on Feb 27, 2023.