MICHELLE SHANNON
NPI 1194234369
Massage Therapist in Wilsonville, OR

Q: What is the provider's specialty?

The provider's specialty is Massage Therapist with taxonomy code 225700000X.

Active since September 20, 2017

8695 SW JACK BURNS BLVD, WILSONVILLE, OR 97070(512) 250-8800 Get Directions Write a Review

NPPES record last updated: September 20, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Michelle Shannon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE SHANNON (NPI 1194234369) is an individual massage therapist in Wilsonville, Oregon, licensed in Texas (MT127515) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1194234369

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameMICHELLE SHANNON

Location Address8695 SW JACK BURNS BLVDWilsonville, OR 97070-5797

Mailing Address10301 Ranch Road, Fm 2222,, Apt 435Austin, TX 78730 · (360) 200-5314

Phone(512) 250-8800

Sole ProprietorYes

Enumeration DateSeptember 20, 2017

✔ NPI 1194234369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in TX · MT127515

Definition

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.

8695 SW JACK BURNS BLVD, Wilsonville, OR 97070

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