Individual provider · Type 1 NPI
Michael Shane Williams
Massage Therapist · Bossier City, LA
NPI number
1619294436
Active
Practice location
2100 Benton Rd Ste A
Bossier City, LA 71111-3581
Mailing address
6594 Oak Valley Dr
Shreveport, LA 71107-8766
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 7593 (LA) |
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.
Other massage therapist providers in Bossier City
- Sara G. Coleman, LMT #8705Massage Therapist Bossier City, LA NPI 1053000851
- Amanda Anastasia Dupas, LMT, CMMTMassage Therapist Bossier City, LA NPI 1306132584
- Sanerica Tanisha Gipson, LMTMassage Therapist Bossier City, LA NPI 1346178365
- Tina R. LeethMassage Therapist Bossier City, LA NPI 1386501062
- Susan Prest, LMTMassage Therapist Bossier City, LA NPI 1598381006
About NPI 1619294436
Michael Shane Williams's National Provider Identifier is 1619294436, issued on May 4, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bossier City, LA. The record was last updated on Oct 2, 2026.