Individual provider · Type 1 NPI

Shawnda Green, LMT

Massage Therapist · New Port Richey, FL

NPI number 1699255737 Active

Practice location

4636 Glissade Dr
New Port Richey, FL 34652-5319

Call (727) 495-3650 Map

Mailing address

8414 Goldome Dr
Port Richey, FL 34668-3320

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA90312 (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 1699255737

Shawnda Green, LMT's National Provider Identifier is 1699255737, issued on Aug 17, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in New Port Richey, FL. The record was last updated on Aug 17, 2018.