SHAUNA WISE LMT NPI 1437811684

NPI Information

NPI: 1437811684
Provider Name: SHAUNA WISE, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
2156 BALBOA AVE
SAN DIEGO, CA
ZIP 92109
Phone: (352) 538-6750
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Shauna Wise, LMT is a massage therapist in San Diego, CA. 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. Shauna Wise, LMT NPI is 1437811684. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2156 BALBOA AVE
SAN DIEGO, CA
ZIP 92109-627
Phone: (352) 538-6750

The enumeration date for this NPI number is 10/5/2021 and was last updated on 10/5/2021.

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		72110	CALIFORNIA	Yes

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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