Shannon Elise Bennett, LMT, CD(DONA)
Massage Therapist in Lacey, WA. Individual provider (NPI-1).
NPI number1487419883
StatusActive
Last updated in NPPESFeb 15, 2024
Details
- NPI
- 1487419883
- Entity type
- Individual (NPI-1)
- Name
- Shannon Elise Bennett
- Credential
- LMT, CD(DONA)
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 15, 2024
- Certification date
- Feb 15, 2024
- Last updated
- Feb 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA61510001 | WA | Yes |
Practice location
7305 Radius Loop SeLacey, WA 98513-5008
Phone 302-750-4937
Mailing address
7305 Radius Loop SeLacey, WA 98513-5008
Phone 302-750-4937
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