Shannon Jacobson
Massage Therapist in Vergennes, VT. Individual provider (NPI-1).
NPI number1386564557
StatusActive
Last updated in NPPESJul 17, 2026
Details
- NPI
- 1386564557
- Entity type
- Individual (NPI-1)
- Name
- Shannon Jacobson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 17, 2026
- Certification date
- Jul 17, 2026
- Last updated
- Jul 17, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | VT | Yes |
Other names
- Shannon Coultas (Former Name)
Practice location
92 Main StVergennes, VT 05491-1155
Phone 206-226-6381
Mailing address
75 W Main StVergennes, VT 05491-1064
Phone 206-226-6381
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