IndividualActive
Shannon Davis, LMT4652
NPI 1265053995 · Massage Therapist · Killen, AL
Provider details
- NPI number
- 1265053995
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT4652
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4652 (AL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5752 Highway 72
Killen, AL 35645-8242
Phone: (256) 272-1895
Approximate (ZIP-level) locationGet directions
Mailing address
3740 Highway 101
Rogersville, AL 35652-2601
Registry dates
- Enumerated
- 2020-05-05
- Last updated
- 2020-05-05
- Certified
- 2020-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.