SHANNON BRAZELTON MA 60482627
NPI 1487178216
Massage Therapist in Renton, WA

Active since August 02, 2017
15407 SE 177TH PL, RENTON, WA 98058(206) 290-2513 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Aug 2, 2017 (2 updates tracked since 2017).

About Shannon Brazelton Ma 60482627 NPPES

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

SHANNON BRAZELTON MA 60482627 (NPI 1487178216) is an individual massage therapist in Renton, Washington, licensed in Washington (MA60482627) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1487178216
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameSHANNON BRAZELTONCredential: MA 60482627
Location Address15407 SE 177TH PLRenton, WA 98058-9010
Mailing Address15407 Se 177th PlRenton, WA 98058-9010 · (206) 290-2513
Sole ProprietorNo
Enumeration DateAugust 2, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1487178216 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 WA · MA60482627
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.
15407 SE 177TH PL, Renton, WA 98058

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 Shannon Brazelton's NPI number?

The NPI number for Shannon Brazelton is 1487178216. It was assigned to this individual provider in the NPPES registry on August 2, 2017.

Where is Shannon Brazelton located?

Shannon Brazelton practices at 15407 SE 177th Pl, Renton, WA 98058. The listed phone number is (206) 290-2513.

What is Shannon Brazelton'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 Shannon Brazelton was last updated on July 21, 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.