Shantay Felicia Maniero, Massage Therapit
Massage Therapist in Woburn, MA. Individual provider (NPI-1).
NPI number1104236181
StatusActive
Last updated in NPPESJul 11, 2014
Details
- NPI
- 1104236181
- Entity type
- Individual (NPI-1)
- Name
- Ms. Shantay Felicia Maniero
- Credential
- Massage Therapit
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 30, 2014
- Last updated
- Jul 11, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 12312 | MA | Yes |
Practice location
10 Tower Office ParkWoburn, MA 01801-4711
Phone 978-201-5022
Mailing address
Po Box 503Harvard, MA 01451-0503
Phone 978-201-5022
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 17 Massage Therapist providers in Woburn · All 2,232 providers in Woburn
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