Doctor Name: | MRS. JESSICA KRISTIN SHELL |
NPI Number: | 1134267412 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CMT |
License Number: | 0019006594 |
Business Practice Address: | 1 Cloverleaf Sq Building A-2 Big Stone Gap, VA - 242192758 |
Business Phone Number: | 2765237128 |
Business Fax Number: | 2765237213 |
Mailing Address: | 1 Cloverleaf Sq, Building A-2 BIG STONE GAP |
State: | VA |
Postal Code: | 242192758 |
Phone Number: | 2765237128 |
Fax Number: | 2765237213 |
NPI Enumeration Date: | 02/01/2007 |
NPI Last Update Date: | 07/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 0019006594 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |