MICHELLE SHANNON (NPI# 1194234369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194234369 |
| Entity Type | Individual |
| Full Name | MICHELLE SHANNON |
| Practice Address |
8695 Sw Jack Burns Blvd Wilsonville OR 97070-5797 |
| Mailing Address |
10301 Ranch Road, Fm 2222 Apt 435 Austin TX 78730 |
| Practice Telephone | 5122508800 |
| Mailing Telephone | 3602005314 |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2017-09-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT127515 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558909176 | Michelle Shannon | Nurse Practitioner | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2019-12-13 |
| 1336616739 | Michelle Shannon | Counselor | 5601 Democracy Dr Ste 135, Plano, TX 75024-3672 | 2018-10-24 |
| 1104286244 | Michelle Shannon | Audiologist | 915 Olentangy River Rd Fl 4, Columbus, OH 43212-3153 | 2016-03-02 |
| 1750797577 | Michelle Shannon | Physical Therapist | 1292 Drake Road, Parkview Noble Therapy, Kendallville, IN 46755 | 2014-07-02 |
| 1104124726 | Michelle Shannon | Occupational Therapist | 9220 Western Ave, Omaha, NE 68114-2297 | 2011-03-06 |
| 1699007468 | Michelle D Shannon | Social Worker | 601 W Michigan St, Orlando, FL 32805-6203 | 2010-02-04 |
| 1316278427 | Michelle Shannon | Counselor | 104 4th Ave Sw, Room 238, Albany, OR 97321-2804 | 2010-01-29 |
| Street Address |
8695 SW JACK BURNS BLVD |
| City | WILSONVILLE |
| State | OR |
| Zip Code | 97070-5797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467836353 | Chrystopher Holland | Massage Therapist | 8695 Sw Jack Burns Blvd, Wilsonville, OR 97070-5797 | 2015-07-10 |
| 1447864863 | Lindsay Anne Schrack | Massage Therapist | 8695 Sw Jack Burns Blvd, Wilsonville, OR 97070-5797 | 2020-09-02 |
| 1831648039 | Paige Dean | Massage Therapist | 8695 Sw Jack Burns Blvd, Wilsonville, OR 97070-5797 | 2016-09-28 |
| 1619326873 | Rebekah Anne Dron | Massage Therapist | 8695 Sw Jack Burns Blvd, Wilsonville, OR 97070-5797 | 2016-06-08 |
| 1457729873 | Nicole Young | Massage Therapist | 8695 Sw Jack Burns Blvd, Suite E, Wilsonville, OR 97070-5797 | 2015-09-02 |
| 1629452669 | Bryan Twidwell | Massage Therapist | 8695 Sw Jack Burns Blvd, Wilsonville, OR 97070-5797 | 2015-07-18 |
| 1144604182 | Bonnie Vaniea | Massage Therapist | 8695 Sw Jack Burns Blvd, Wilsonville, OR 97070-5797 | 2015-07-18 |
| 1811371115 | Kelly Blehm | Massage Therapist | 8695 Sw Jack Burns Blvd, Wilsonville, OR 97070-5797 | 2015-07-16 |
| 1558745877 | Launie Thompson | Massage Therapist | 8695 Sw Jack Burns Blvd, Wilsonville, OR 97070-5797 | 2015-07-16 |
| 1023492527 | Rebecca Lynn Mcmackin | Massage Therapist | 8695 Sw Jack Burns Blvd, Wilsonville, OR 97070-5797 | 2015-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457995896 | Rosalyn Sharon Mckinney | Technician | 7798 Sw Vlahos Dr, Wilsonville, OR 97070 | 2019-10-29 |
| 1275027393 | Oregon Regeneration Stem Cell Medical Center, LLC | Chiropractor | 29781 Sw Town Center Loop, Wilsonville, OR 97070 | 2018-06-21 |
| 1073050472 | Kirstin Marie Lauritzen | Chiropractor | 25589 Sw Canyon Creek Rd Ste 100, Wilsonville, OR 97070 | 2017-01-23 |
| 1932642220 | Nicole Galasso | Occupational Therapy Assistant | 25117 Sw Parkway Avenue Suite D, Wilsonville, OR 97070 | 2016-11-18 |
| 1508317512 | Justin Langlais | Naturopath | 25195 Sw Parkway Ave Ste 210, Wilsonville, OR 97070 | 2016-10-14 |
| 1518411149 | Stephanie Tran | Optometrist | 29250 Town Center Loop W, Wilsonville, OR 97070 | 2016-08-11 |
| 1346610607 | Rachel Ziegler | Occupational Therapy Assistant | 25117 Sw Parkway Ave Suite D, Willsonville, OR 97070 | 2015-09-30 |
| 1992184238 | Michelle Miranda | Counselor | 30150 Sw Parkway Ave Ste 300, Wilsonville, OR 97070 | 2015-05-19 |
| 1609275007 | Ryan Bridges | Dentist | 30040 Sw Boones Ferry Rd Ste 20, Wilsonville, OR 97070 | 2014-08-21 |
| 1649604018 | Jason Russell James | Physical Therapist | 29174 Sw Town Center Loop W # 202b, Wilsonville, OR 97070 | 2013-08-21 |
| Find all providers in zip 97070 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811401987 | Virginia Marie Karr | Massage Therapist | 8855 Sw Holly Ln Ste 106, Wilsonville, OR 97070-8792 | 2017-11-27 |
| 1467836353 | Chrystopher Holland | Massage Therapist | 8695 Sw Jack Burns Blvd, Wilsonville, OR 97070-5797 | 2015-07-10 |
| 1700217825 | Beatrice Angelina Rebullosa | Massage Therapist | 8550 Sw Ash Meadows Rd Apt 425, Wilsonville, OR 97070-4027 | 2013-11-30 |
| 1538419866 | Danna Lynn Hartung | Massage Therapist | 29292 Sw Town Center Loop E Ste B, Wilsonville, OR 97070-9491 | 2012-09-13 |
| 1447500855 | Jenae Michelle Summerour | Massage Therapist | 30789 Sw Boones Ferry Rd Ste P, Wilsonville, OR 97070-7842 | 2012-09-12 |
| 1770839581 | Kala Rajelle Drake | Massage Therapist | 30050 Sw Town Center Loop W, Wilsonville, OR 97070-7596 | 2012-07-30 |
| 1700144888 | Connie Michael | Massage Therapist | 8695 Sw Jack Burns Blvd, Suite E, Wilsonville, OR 97070 | 2012-04-26 |
| 1619248218 | Kathryn Mary Overby | Massage Therapist | 29781 Sw Town Center Loop W, Wilsonville, OR 97070-8806 | 2012-01-13 |
| 1760760532 | Medical Massage N.w. L.l.c | Massage Therapist | 8655 Sw Citizens Dr, Suite 206, Wilsonville, OR 97070-7475 | 2011-07-28 |
| 1841591559 | James Leeman Wallace | Massage Therapist | 29650 Sw Courtside Dr, #14, Wilsonville, OR 97070-7482 | 2010-11-11 |
| Find all providers in WILSONVILLE | ||||
| City | WILSONVILLE |
| Zip Code | 97070 |
Please comment or provide details below to improve the information on MICHELLE SHANNON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.