Individual provider · Type 1 NPI

Kellie Shanks

Massage Therapist · Port Charlotte, FL

NPI number 1689090607 Active

Practice location

3440 Conway Blvd, 3B
Port Charlotte, FL 33952-7000

Call (941) 766-1882 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA73679 (FL)

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 1689090607

Kellie Shanks's National Provider Identifier is 1689090607, issued on Mar 14, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Port Charlotte, FL. The record was last updated on Mar 14, 2014.