Individual provider · Type 1 NPI
Shawna Renae Galonda Herndon, LMT
Massage Therapist · Caseyville, IL
NPI number
1811517360
Active
Practice location
16 E Reynolds St
Caseyville, IL 62232-1014
Fax (618) 551-4709
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 227013189 (IL) |
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.
About NPI 1811517360
Shawna Renae Galonda Herndon, LMT's National Provider Identifier is 1811517360, issued on Apr 24, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Caseyville, IL. The record was last updated on Apr 24, 2020.