| Doctor Name: | SHANNON WILKINS |
| NPI Number: | 1437518917 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MMP |
| License Number: | MT0003987 |
| Business Practice Address: | 125 N 8th St 19 Grand Junction, CO - 815013530 |
| Business Phone Number: | 9702607638 |
| Business Fax Number: | |
| Mailing Address: | 3156 Lakeside Dr, 303 GRAND JUNCTION |
| State: | CO |
| Postal Code: | 815062859 |
| Phone Number: | 9702607638 |
| Fax Number: | |
| NPI Enumeration Date: | 02/12/2016 |
| NPI Last Update Date: | 02/12/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225700000X |
| License Number: | MT0003987 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| 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. |