Individual provider · Type 1 NPI

Shannon Green, LMT

Massage Therapist · Phoenix, AZ

NPI number 1952053563 Active

Practice location

4040 E Friess Dr
Phoenix, AZ 85032-5820

Call (602) 435-2057 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT-17180 (AZ)

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 1952053563

Shannon Green, LMT's National Provider Identifier is 1952053563, issued on Jan 25, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Phoenix, AZ. The record was last updated on Jan 25, 2022.