Shannon Lashelle Adams-McDowell

Individual provider Active NPI Massage Therapist · Charlotte, NC

NPI 1598064347 · NPPES record last updated Mar 18, 2011

Key facts

NPI
1598064347
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
09701 (NC)
Practice address
616 Cliffs Inn Cir
Charlotte, NC 28214-1065
Phone
(704) 820-8542
NPI assigned
Mar 18, 2011
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

State licenses

LicenseStateTypeSpecialty
09701NCMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 09701 NC Yes

Addresses

Primary practice location

616 Cliffs Inn Cir
Charlotte, NC 28214-1065

Mailing address

616 Cliffs Inn Cir
Charlotte, NC 28214-1065
Phone (704) 820-8542

Other providers in Charlotte, NC

All providers in Charlotte, NC · Massage Therapist in North Carolina

Sources for this page

Verify at the official NPI Registry.