Angelia Shell, LMT
Individual provider Active NPI Massage Therapist · Marble Hill, MO
NPI 1134813009 · NPPES record last updated Jun 5, 2023
Key facts
- NPI
- 1134813009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 2016026782 (MO)
- Practice address
- 113 Mo 51
Marble Hill, MO 63764 - Phone
- (573) 979-4414
- NPI assigned
- Jun 5, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016026782 | MO | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 2016026782 | MO | Yes |
Addresses
Primary practice location
113 Mo 51
Marble Hill, MO 63764
Mailing address
15290 State Highway 51
Advance, MO 63730-7151
Phone (573) 979-4414
Other providers in Marble Hill, MO
- Cassie Alise Reever
- Melissa Schremp
- Lauren Seiler
- Select Physical Therapy Holdings, Inc.
- Semo EMS Inc
- Chelsey Stoverink
- Ryan Michael Sutterer
- Twin City Pharmacy, Inc
- Gary Underwood
- Amanda Wagner
All providers in Marble Hill, MO · Massage Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.