Alyson Nicole Shanklin, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MSG001776 Issued in PA

Practice address

690 Furnace Hills Pike
Lititz, PA 17543-8907

Phone

(717) 693-3676

Fax

(717) 693-3676

NPI assigned

Aug 9, 2017

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

Other identifiers 1

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": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1740705979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 FURNACE HILLS PIKE",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175438907",
            "telephone_number": "717-693-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 FURNACE HILLS PIKE",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175438907",
            "telephone_number": "717-693-3676",
            "fax_number": "717-693-3676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "227 N Duke St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176022788",
            "country_code": "US",
            "telephone_number": "717-626-6288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "390 E Main St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175222580",
            "country_code": "US",
            "telephone_number": "717-626-6288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANKLIN",
        "first_name": "ALYSON",
        "middle_name": "NICOLE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG001776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPY",
            "identifier": "81-3753875",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Lititz, PA
• Providers in Lititz, PA by specialty
• Massage Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.