SHANNON RAE BLAIR MA 60263684
NPI 1770857971
Massage Therapist in Winlock, WA
- Individual
- Female
- Massage Therapist
About SHANNON BLAIR
This page provides the complete NPI Profile along with additional information for Shannon Blair, a provider established in Winlock, Washington with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1770857971 assigned on March 2012. The practitioner's primary taxonomy code is 225700000X with license number MA 60263684 (WA). The provider is registered as an individual and her NPI record was last updated 14 years ago.
- NPI
- 1770857971 Verify this NPI
- Provider Name
- SHANNON RAE BLAIR MA 60263684
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 103 SE FIRST STREET WINLOCK, WA 98596
- Location Phone
- (360) 520-0955
- Mailing Address
- POB 245 103 SE FIRST STREET WINLOCK, WA 98596
- Mailing Phone
- (360) 520-0955
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-06-2012
- Last Update Date
- 08-08-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Massage Therapist
- Taxonomy Code
- 225700000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- MA 60263684
- License State
- WA
- Taxonomy Description
- 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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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770857971, enumerated as an "individual" on March 06, 2012.
The provider is located at 103 SE FIRST STREET WINLOCK, WA 98596 and the phone number is (360) 520-0955.
Massage Therapist with taxonomy code 225700000X.
