Individual provider · Type 1 NPI

Shannon Boczkowski

Massage Therapist · Warren, MI

NPI number 1770033110 Active

Practice location

30521 Schoenherr Rd, 100
Warren, MI 48088-3161

Call (248) 605-8581 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X7501007839 (MI)

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 1770033110

Shannon Boczkowski's National Provider Identifier is 1770033110, issued on Oct 10, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Warren, MI. The record was last updated on Oct 10, 2016.