Shannon Lindow, LMT
Individual provider Active NPI Massage Therapist · Cordova, AK
NPI 1790248607 · NPPES record last updated Apr 8, 2019
Key facts
- NPI
- 1790248607
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 0021393 (CO)
- Practice address
- 520 2ND St
Cordova, AK 99574 - Phone
- (907) 429-7797
- NPI assigned
- Apr 8, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0021393 | CO | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acupuncture & Wellness of Cordova | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 0021393 | CO | Yes |
Addresses
Primary practice location
520 2ND St
Cordova, AK 99574
Mailing address
PO Box 1612
Cordova, AK 99574-1612
Other providers in Cordova, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2019. 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.