Shannon Michelle Whitehead
Massage Therapist
5180 N Union Blvd # 209
Colorado Springs
, Colorado 80918-2000
Shannon Michelle Whitehead
Massage Therapist
5180 N Union Blvd # 209
Colorado Springs
, Colorado 80918-2000
(719) 351-1551
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Shannon Michelle Whitehead
- 919 Rancher Dr
- Fountain, CO
- Zip : 80817-4113
- Phone : (719) 351-1551
Second Address
- Shannon Michelle Whitehead
- 5180 N Union Blvd # 209
- Colorado Springs, CO
- Zip : 80918-2000
- Phone : (719) 351-1551
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT.0023537 | CO |
National Provider Identifier
| NPI | 1013512235 |
|---|---|
| Provider Name | Shannon Michelle Whitehead |
| First Address | Fountain, CO 80817-4113 |
| Second Address | Colorado Springs, CO 80918-2000 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/12/2020 |
| Last Update Date | 04/12/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.