Shannon Jacobson
Individual provider Active NPI Massage Therapist · Vergennes, VT
NPI 1386564557 · NPPES record last updated Jul 17, 2026
Key facts
- NPI
- 1386564557
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- Practice address
- 92 Main St
Vergennes, VT 05491-1155 - Phone
- (206) 226-6381
- NPI assigned
- Jul 17, 2026
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist |
225700000X | VT | Yes |
Addresses
Primary practice location
92 Main St
Vergennes, VT 05491-1155
Mailing address
75 W Main St
Vergennes, VT 05491-1064
Phone (206) 226-6381
Other names
- Shannon Coultas
Other providers in Vergennes, VT
- Karen L Fromhold
- Liam G. Gannon
- Kate Alexandra Geschwind
- Gregory C Maurer DDS PC
- Daniel C Huber
- John Graham Shelter
- Jennifer Sandra Kaufman
- Heather Brown Kidde
- KPH Healthcare Services, Inc.
- Christine V. Lafreniere
All providers in Vergennes, VT · Massage Therapist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2026. 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.