Individual provider · Type 1 NPI

Shannon Irene Smith

Massage Therapist · Columbia, SC

NPI number 1972188027 Active

Practice location

1625 Lake Murray Blvd
Columbia, SC 29212-8626

Call (803) 238-9464 Map

Mailing address

131 Mayland Ct
Irmo, SC 29063-2116

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X10364 (SC)

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 1972188027

Shannon Irene Smith's National Provider Identifier is 1972188027, issued on Mar 10, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Columbia, SC. The record was last updated on Mar 10, 2021.