SHANNON GIBNEY LMT NPI 1487352712

NPI Information

NPI: 1487352712
Provider Name: SHANNON GIBNEY, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
N52W24310 LISBON RD
PEWAUKEE, WI
ZIP 53072
Phone: (608) 548-2335
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Shannon Gibney, LMT is a massage therapist in Pewaukee, WI. 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 Gibney, LMT NPI is 1487352712. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

N52W24310 LISBON RD
PEWAUKEE, WI
ZIP 53072-440
Phone: (608) 548-2335

The enumeration date for this NPI number is 2/16/2023 and was last updated on 2/16/2023.

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		13685-146	WISCONSIN	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: 5/5/2024

NPI Synchronization or Removal

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