SHANNON GREEN LMT
NPI 1952053563
Massage Therapist in Phoenix, AZ

Q: What is Shannon Green's NPI number?

The NPI number for Shannon Green is 1952053563. It was assigned to this individual provider in the NPPES registry on January 25, 2022.

Q: What is Shannon Green'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 Shannon Green was last updated on January 25, 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.

Active since January 25, 2022

4040 E FRIESS DR, PHOENIX, AZ 85032(602) 435-2057 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shannon Green Lmt NPPES

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

SHANNON GREEN LMT (NPI 1952053563) is an individual massage therapist in Phoenix, Arizona, licensed in Arizona (MT-17180) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1952053563

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameSHANNON GREENCredential: LMT

Location Address4040 E FRIESS DRPhoenix, AZ 85032-5820

Mailing Address4040 E Friess DrPhoenix, AZ 85032-5820 · (602) 435-2057

Phone(602) 435-2057

Sole ProprietorYes

Enumeration DateJanuary 25, 2022

NPPES CertifiedJanuary 25, 2022

✔ NPI 1952053563 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 AZ · MT-17180

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.

4040 E FRIESS DR, Phoenix, AZ 85032

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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 Green's NPI number?

The NPI number for Shannon Green is 1952053563. It was assigned to this individual provider in the NPPES registry on January 25, 2022.

Where is Shannon Green located?

Shannon Green practices at 4040 E Friess Dr, Phoenix, AZ 85032. The listed phone number is (602) 435-2057.

What is Shannon Green'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 Green was last updated on January 25, 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.