SHANNON BOHANEK
NPI 1821709239
Massage Therapist in Hayden, ID

Active since December 06, 2022
2151 W HAYDEN AVE, HAYDEN, ID 83835(208) 762-6772 Get Directions Write a Review

NPPES record last updated: December 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 29, 2022, Dec 6, 2022 (2 updates tracked since 2022).

About Shannon Bohanek NPPES

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

SHANNON BOHANEK (NPI 1821709239) is an individual massage therapist in Hayden, Idaho, licensed in Idaho (MAS4899) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1821709239
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameSHANNON BOHANEK
Location Address2151 W HAYDEN AVEHayden, ID 83835-7414
Mailing Address2151 W Hayden AveHayden, ID 83835-7414 · (208) 762-6772
Sole ProprietorNo
Enumeration DateDecember 6, 2022
Last NPPES UpdateDecember 29, 20222 updates tracked since enumeration
NPPES CertifiedDecember 29, 2022
NPI 1821709239 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 ID · MAS4899
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.
2151 W HAYDEN AVE, Hayden, ID 83835

Other Providers at the Same Location NPPES 13

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

Clinic/Center (Primary Care)
2151 W HAYDEN AVE
HAYDEN, ID 83835
Massage Therapist
2151 W HAYDEN AVE
HAYDEN, ID 83835
Massage Therapist
2151 W HAYDEN AVE
HAYDEN, ID 83835
Massage Therapist
2151 W HAYDEN AVE
HAYDEN, ID 83835
Counselor (Mental Health)
2151 W HAYDEN AVE
HAYDEN, ID 83835
Massage Therapist
2151 W HAYDEN AVE
HAYDEN, ID 83835
Massage Therapist
2151 W HAYDEN AVE
HAYDEN, ID 83835
Massage Therapist
2151 W HAYDEN AVE
HAYDEN, ID 83835

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 Bohanek's NPI number?

The NPI number for Shannon Bohanek is 1821709239. It was assigned to this individual provider in the NPPES registry on December 6, 2022.

Where is Shannon Bohanek located?

Shannon Bohanek practices at 2151 W Hayden Ave, Hayden, ID 83835. The listed phone number is (208) 762-6772.

What is Shannon Bohanek'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 Bohanek was last updated on December 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.