Doctor Name: | SHANNON LAREE CALLIHAN |
NPI Number: | 1578877452 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | MA00020449 |
Business Practice Address: | 2336-18 Thorium Dr Apt 18 Greenwood, IN - 46143 |
Business Phone Number: | 3606019363 |
Business Fax Number: | |
Mailing Address: | 2336-18 Thorium Dr, Apt 18 GREENWOOD |
State: | IN |
Postal Code: | 46143 |
Phone Number: | 3606019363 |
Fax Number: | |
NPI Enumeration Date: | 08/03/2010 |
NPI Last Update Date: | 08/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA00020449 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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. |