Shanelle C Patrick, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61656710 Issued in WA

Practice address

4525 Intelco Loop SE
Lacey, WA 98503-5103

Phone

(360) 491-9135

NPI assigned

Feb 25, 2025

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Derrick Family Chiropractic, Inc.

  • Chiropractor
  • Olympia, WA
  • NPI 1891014411
  NPD

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1467259739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 INTELCO LOOP SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985035103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 INTELCO LOOP SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985035103",
            "telephone_number": "360-491-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "SHANELLE",
        "middle_name": "C",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61656710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Parkinson, PHARM D
• Adrienne Parks, LMT
• Katherine Parrott, LMP
• Stephanie Nicole Parton
• Ahmed Usman Parupia, OTR
• Jacqueline Patterson
• Paulette Jo Patterson
• Sawyer Patton, CCC-SLP
• Penelope Nancy Lynn Pavlinovic, LICSW
• Peace at Last Therapy, LLC

• Massage Therapist in Lacey, WA
• Providers in Lacey, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.