SHANNON WELCH NPI 1306484399

NPI Information

NPI: 1306484399
Provider Name: SHANNON WELCH
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
7266 PORTAGE ST NW
MASSILLON, OH
ZIP 44646
Phone: (330) 818-1212
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Shannon Welch is a massage therapist in Massillon, OH. The provider is 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. Shannon Welch NPI is 1306484399. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7266 PORTAGE ST NW
MASSILLON, OH
ZIP 44646-986
Phone: (330) 818-1212

The enumeration date for this NPI number is 12/20/2019 and was last updated on 12/20/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		33011711T-Z	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	33011711T-Z	OTHER		LMT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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