NPI 1013458660

Shannon N Cox, LMTLE

Practitioner Massage Therapist Hayden Lake, ID

Practice location

Address: 1677 E Miles Ave B, Hayden Lake, ID 83835-9154
Phone: (208) 497-2650

Registered specialties (2)

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MASG1964 (ID)

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Massage Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MA60169177 (WA)

Registry record

NPI: 1013458660
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Mar 2017
Record last updated: 15 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.