Shelley Banoo

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00024944 Issued in WA

Practice address

5023 270TH Ave NE
Redmond, WA 98053-2748

Phone

(425) 443-6125

NPI assigned

Feb 6, 2008

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1508044074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12015 NE 8TH ST",
            "address_2": "SUITE#1",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053141",
            "telephone_number": "425-443-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5023 270TH AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980532748",
            "telephone_number": "425-443-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANOO",
        "first_name": "SHELLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00024944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nic Baloca
• Susan Renee Balodis-Cox, M.A.
• Joseph G Banach, PT
• Jared Banka, MC61577538
• Abbey Bankaitis, LMHCA
• Arjun Animesh Bansal, MD
• Shabina Bari
• Julia Elizabeth Barker, BA, RC
• Ilona Barlam, DPM
• Serge Barlam, DPM

• Massage Therapist in Redmond, WA
• Providers in Redmond, 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 6, 2008; 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.