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SUWANNA SHAN CMT
NPI 1255078135
Massage Therapist in San Diego, CA

Active since May 12, 2022
16935 W BERNARDO DR STE 153, SAN DIEGO, CA 92127(858) 480-9951 Get Directions Write a Review

NPPES record last updated: May 12, 2022. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Suwanna Shan Cmt NPPES

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

SUWANNA SHAN CMT (NPI 1255078135) is an individual massage therapist in San Diego, California, licensed in California (38286) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1255078135
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameSUWANNA SHANCredential: CMT
Location Address16935 W BERNARDO DR STE 153San Diego, CA 92127-1637
Mailing Address17093 W Bernardo Dr Unit 208San Diego, CA 92127-1413
Phone(858) 480-9951
Sole ProprietorYes
Enumeration DateMay 12, 2022
NPPES CertifiedMay 12, 2022
✔ NPI 1255078135 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 CA · 38286
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.
16935 W BERNARDO DR STE 153, San Diego, CA 92127
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suwanna Shan's NPI number?

The NPI number for Suwanna Shan is 1255078135. It was assigned to this individual provider in the NPPES registry on May 12, 2022.

Where is Suwanna Shan located?

Suwanna Shan practices at 16935 W Bernardo Dr Ste 153, San Diego, CA 92127. The listed phone number is (858) 480-9951.

What is Suwanna Shan's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Suwanna Shan was last updated on May 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.