Sha Zen Massage LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7501003718 Issued in MI

Legal business name

SHA ZEN MASSAGE LLC

Doing business as

Sha Zen Massage

Practice address

4695 Washtenaw Ave
Studio 19
Ann Arbor, MI 48108-1301

Phone

(517) 599-0225

NPI assigned

Sep 25, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Shannon Lee Nettles, LMTNPI 1407226012

Title

Massage Therapist - Owner

Phone

(517) 599-0225

Specialties & licenses 1

Addresses

Other names 1

• Sha Zen Massage Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon L Nettles, LMT

  • Massage Therapist
  • Ann Arbor, MI
  • NPI 1407226012
  NPD Authorized official

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

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443139200000",
    "number": "1174993794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6134 MAPLEVIEW LN",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481979479",
            "telephone_number": "517-599-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4695 WASHTENAW AVE",
            "address_2": "STUDIO 19",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081301",
            "telephone_number": "517-599-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHA ZEN MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-25",
        "last_updated": "2015-09-25",
        "status": "A",
        "authorized_official_last_name": "NETTLES",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MASSAGE THERAPIST - OWNER",
        "authorized_official_telephone_number": "517-599-0225",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501003718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sha Zen Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charone Sexton, NP
• Minden B Sexton, PH.D.
• Callie Seybert, PA-C
• Lisa Sou Seyfried, MD
• SFD Psychological Services
• Tiffany Sha
• Wael Mansour Shabana, MD
• Christina Lynn Shabet, MD
• Kendra Patricia Shackelton, LMSW
• Grace Helen Shadid, MD

• Massage Therapist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; 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.