Individual provider · Type 1 NPI

Shannon Gibney, LMT

Massage Therapist · Pewaukee, WI

NPI number 1487352712 Active

Practice location

N52W24310 Lisbon Rd
Pewaukee, WI 53072-1440

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X13685-146 (WI)

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 1487352712

Shannon Gibney, LMT's National Provider Identifier is 1487352712, issued on Feb 16, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Pewaukee, WI. The record was last updated on Feb 16, 2023.