KELLIE SHANKS
NPI 1689090607
Massage Therapist in Port Charlotte, FL

Q: What is Kellie Shanks's NPI number?

The NPI number for Kellie Shanks is 1689090607. It was assigned to this individual provider in the NPPES registry on March 14, 2014.

Q: What is Kellie Shanks's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kellie Shanks was last updated on March 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since March 14, 2014

3440 CONWAY BLVD, 3B, PORT CHARLOTTE, FL 33952(941) 766-1882 Get Directions Write a Review

NPPES record last updated: March 14, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kellie Shanks NPPES

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

KELLIE SHANKS (NPI 1689090607) is an individual massage therapist in Port Charlotte, Florida, licensed in Florida (MA73679) and active in the NPI registry since March 2014.

NPPES Registry Identity

NPI1689090607

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameKELLIE SHANKS

Location Address3440 CONWAY BLVD, 3BPort Charlotte, FL 33952-7000

Mailing Address3440 Conway Blvd, 3bPort Charlotte, FL 33952-7000 · (941) 766-1882

Phone(941) 766-1882

Sole ProprietorYes

Enumeration DateMarch 14, 2014

✔ NPI 1689090607 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 FL · MA73679

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.

3440 CONWAY BLVD, Port Charlotte, FL 33952

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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEACE RIVER ANKLE & FOOT, PL

Podiatrist (Foot & Ankle Surgery)

3440 CONWAY BLVD, 1D
PORT CHARLOTTE, FL 33952

Charlotte County (941) 624-3668

ROGER S LEE D.D.S.

Dentist (Oral and Maxillofacial Surgery)

3440 CONWAY BLVD, SUITE 2D
PORT CHARLOTTE, FL 33952

Charlotte County (941) 743-4425

DR. ALAN C LEVIN BDS

Dentist (Prosthodontics)

3440 CONWAY BLVD, #2A
PORT CHARLOTTE, FL 33952

Charlotte County (941) 629-4311

RACHEL M COTE

Massage Therapist

3440 CONWAY BLVD, 3B
PORT CHARLOTTE, FL 33952

Charlotte County (941) 766-1882

DR. DAVID G WILSON III DDS

Dentist

3440 CONWAY BLVD, SUITE # 1-B
PORT CHARLOTTE, FL 33952

Charlotte County (941) 625-5141

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 Kellie Shanks's NPI number?

The NPI number for Kellie Shanks is 1689090607. It was assigned to this individual provider in the NPPES registry on March 14, 2014.

Where is Kellie Shanks located?

Kellie Shanks practices at 3440 Conway Blvd 3B, Port Charlotte, FL 33952. The listed phone number is (941) 766-1882.

What is Kellie Shanks'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 Kellie Shanks was last updated on March 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.