Doctor Name: | MRS. ELISE A. SHANER |
NPI Number: | 1275686982 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.B.T. |
License Number: | 105 |
Business Practice Address: | 2224 Lacy St Burlington, NC - 272155341 |
Business Phone Number: | 3362280112 |
Business Fax Number: | 3362286994 |
Mailing Address: | 2224 Lacy St, BURLINGTON |
State: | NC |
Postal Code: | 272155341 |
Phone Number: | 3362280112 |
Fax Number: | 3362286994 |
NPI Enumeration Date: | 01/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 105 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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. |