Individual provider · Type 1 NPI
Salisa Shannon, LMT
Massage Therapist · Lakewood, WA
NPI number
1497239180
Active
Practice location
25 Thunderbird Pkwy SW Apt 47
Lakewood, WA 98498-6189
Mailing address
PO Box 98981
Lakewood, WA 98496-8981
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA60882455 (WA) |
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 1497239180
Salisa Shannon, LMT's National Provider Identifier is 1497239180, issued on Sep 19, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lakewood, WA. The record was last updated on Sep 19, 2018.