Julienne Dawn Shackelford, LMT
Individual provider Active NPI Massage Therapist · Epsom, NH
NPI 1467178368 · NPPES record last updated Oct 13, 2022
Key facts
- NPI
- 1467178368
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 8124 (NH)
- Practice address
- 4 Brimstone Hill Rd
Epsom, NH 03234-4001 - Phone
- (603) 717-6488
- Fax
- (603) 676-7537
- NPI assigned
- Oct 13, 2022
- 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 | 8124 | NH | Yes |
Addresses
Primary practice location
4 Brimstone Hill Rd
Epsom, NH 03234-4001
Mailing address
4 Brimstone Hill Rd
Epsom, NH 03234-4001
Phone (603) 717-6488
Other providers in Epsom, NH
- Keri Anne Ricci
- Amanda E Savage
- Steven Anthony Schag
- Jodi A Schroeder
- Jill Marie Severino
- Kenna Michelle Sloan
- Amelia Solomon
- Town of Epsom New Hampshire
- Ashley Tullo
- Steven Joseph Warner
All providers in Epsom, NH · Massage Therapist in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2022. 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.