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SHANNON RAE BLAIR MA 60263684
NPI 1770857971
Massage Therapist in Winlock, WA

Active since March 06, 2012
103 SE FIRST STREET, WINLOCK, WA 98596(360) 520-0955 Get Directions Write a Review

NPPES record last updated: August 8, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shannon Rae Blair Ma 60263684 NPPES

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

SHANNON RAE BLAIR MA 60263684 (NPI 1770857971) is an individual massage therapist in Winlock, Washington, licensed in Washington (MA 60263684) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1770857971
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameSHANNON RAE BLAIRCredential: MA 60263684
Location Address103 SE FIRST STREETWinlock, WA 98596
Mailing AddressPob 245, 103 Se First StreetWinlock, WA 98596 · (360) 520-0955
Phone(360) 520-0955
Sole ProprietorYes
Enumeration DateMarch 6, 2012
Last NPPES UpdateAugust 8, 2012
✔ NPI 1770857971 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 · MA 60263684
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.
103 SE FIRST STREET, Winlock, WA 98596
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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 Shannon Blair's NPI number?

The NPI number for Shannon Blair is 1770857971. It was assigned to this individual provider in the NPPES registry on March 6, 2012.

Where is Shannon Blair located?

Shannon Blair practices at 103 SE First Street, Winlock, WA 98596. The listed phone number is (360) 520-0955.

What is Shannon Blair'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 Blair was last updated on August 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.