Individual provider · Type 1 NPI

Shannon Bohanek

Massage Therapist · Hayden, ID

NPI number 1821709239 Active

Practice location

2151 W Hayden Ave
Hayden, ID 83835-7414

Call (208) 762-6772 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMAS4899 (ID)

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 1821709239

Shannon Bohanek's National Provider Identifier is 1821709239, issued on Dec 6, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Hayden, ID. The record was last updated on Dec 29, 2022.