Shannon Leigh Clark D/B/a Massage Matters, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

8598 Issued in TN

Practice address

15 Old Stage Rd Ste a
Greeneville, TN 37745-3117

Phone

(423) 278-8168

NPI assigned

Jul 14, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1104348820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 UPLAND AVE",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377436641",
            "telephone_number": "423-278-8168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 OLD STAGE RD STE A",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377453117",
            "telephone_number": "423-278-8168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 N Roan St",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376011103",
            "country_code": "US",
            "telephone_number": "423-292-5240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK D/B/A MASSAGE MATTERS",
        "first_name": "SHANNON",
        "middle_name": "LEIGH",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TN",
            "license": "8598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Greeneville, TN
• Providers in Greeneville, TN by specialty
• Massage Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.