SHANNON MCCREERY (NPI# 1891231890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891231890 |
| Entity Type | Individual |
| Full Name | SHANNON MCCREERY |
| Practice Address |
807 S 3rd St Laramie WY 82070-4419 |
| Practice Telephone | 3077426840 |
| Practice Fax Number | 3077453712 |
| Mailing Telephone | 3077426840 |
| Mailing Fax Number | 3077453712 |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2017-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
807 S 3RD ST |
| City | LARAMIE |
| State | WY |
| Zip Code | 82070-4419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659904290 | Serephine Bonnell | Massage Therapist | 807 S 3rd St, Laramie, WY 82070-4419 | 2020-02-21 |
| 1992269526 | Joy A Lion | Massage Therapist | 807 S 3rd St, Laramie, WY 82070-4419 | 2019-01-28 |
| 1851860845 | Shandra Fredregill | Massage Therapist | 807 S 3rd St, Laramie, WY 82070-4419 | 2018-11-19 |
| 1790276798 | Mindy Renee Lamborn | Massage Therapist | 807 S 3rd St, Laramie, WY 82070-4419 | 2018-05-24 |
| 1720519432 | Lani Jackson | Massage Therapist | 807 S 3rd St, Laramie, WY 82070-4419 | 2017-03-23 |
| 1295273332 | David Bluemel | Massage Therapist | 807 S 3rd St, Laramie, WY 82070-4419 | 2017-02-09 |
| 1649546987 | Alice Sherwood | Massage Therapist | 807 S 3rd St, Laramie, WY 82070-4419 | 2012-03-30 |
| 1386919991 | Rachael Lee Bruyere | Massage Therapist | 807 S 3rd St, Laramie, WY 82070-4419 | 2012-03-14 |
| 1467789677 | Kaliegh Brenneman | Massage Therapist | 807 S 3rd St, Laramie, WY 82070-4419 | 2009-11-09 |
| 1861646697 | Pamela Bressler | Massage Therapist | 807 S 3rd St, Laramie, WY 82070-4419 | 2008-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875164 | Roland Maldonado | Registered Nurse | 258 Nth Hayes Street, Laramie, WY 82070 | 2020-09-10 |
| 1528429917 | Spark | Community/Behavioral Health | 903 S 9th Street, Laramie, WY 82070 | 2016-03-11 |
| 1578968509 | Melissa Marie Allen | Speech-Language Pathologist | 1613 Clydesdale, Laramie, WY 82070 | 2014-11-04 |
| 1316362155 | Charles M. Alexander | Pharmacist | 3112 E. Grand Ave, Laramie, WY 82070 | 2014-03-04 |
| 1447685706 | Dale Warren Van Wig | Pharmacist | 544 N. Third St, Pharmacy, Laramie, WY 82070 | 2013-09-05 |
| 1558619973 | Sarah Marie Pence | Pharmacist | 4005 East Grand Ave, Laramie, WY 82070 | 2012-08-15 |
| 1437435567 | Stephanie Ingalls | Case Manager/Care Coordinator | 69 Osprey Rd., Laramie, WY 82070 | 2011-11-03 |
| 1457634040 | The Clinic for Mental Health and Wellness | Counselor | 504 South 4th Street, Laramie, WY 82070 | 2011-09-21 |
| 1316177371 | Patricia Ann Casey | Occupational Therapist | Laramie Care Center, 503 S. 18th St., Laramie, WY 82070 | 2009-07-23 |
| 1134322340 | Linda K Cross | Case Manager/Care Coordinator | 315 So 8th, Laramie, WY 82070 | 2007-06-06 |
| Find all providers in zip 82070 | ||||
| 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 |
|---|---|---|---|---|
| 1295921526 | William Dean Gallatin | Massage Therapist | 434 S Grant St, Laramie, WY 82070-6408 | 2007-09-20 |
| 1659904290 | Serephine Bonnell | Massage Therapist | 807 S 3rd St, Laramie, WY 82070-4419 | 2020-02-21 |
| 1992269526 | Joy A Lion | Massage Therapist | 807 S 3rd St, Laramie, WY 82070-4419 | 2019-01-28 |
| 1851860845 | Shandra Fredregill | Massage Therapist | 807 S 3rd St, Laramie, WY 82070-4419 | 2018-11-19 |
| 1790276798 | Mindy Renee Lamborn | Massage Therapist | 807 S 3rd St, Laramie, WY 82070-4419 | 2018-05-24 |
| 1720519432 | Lani Jackson | Massage Therapist | 807 S 3rd St, Laramie, WY 82070-4419 | 2017-03-23 |
| 1295273332 | David Bluemel | Massage Therapist | 807 S 3rd St, Laramie, WY 82070-4419 | 2017-02-09 |
| 1376089458 | Serena Romero | Massage Therapist | 4989 N 3rd St, Laramie, WY 82072-9548 | 2017-01-12 |
| 1649546987 | Alice Sherwood | Massage Therapist | 807 S 3rd St, Laramie, WY 82070-4419 | 2012-03-30 |
| 1386919991 | Rachael Lee Bruyere | Massage Therapist | 807 S 3rd St, Laramie, WY 82070-4419 | 2012-03-14 |
| Find all providers in LARAMIE | ||||
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| 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.