SHANNON GREEN LMT
NPI 1952053563
Massage Therapist in Phoenix, AZ
Active since January 25, 2022
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
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1952053563, enumerated as an "individual" on January 25, 2022.
The provider is located at 4040 E FRIESS DR PHOENIX, AZ 85032 and the phone number is (602) 435-2057.
Massage Therapist with taxonomy code 225700000X.
