IndividualActive
Shonda Cannon, LMT
NPI 1386274157 · Massage Therapist · Phoenix, OR
Provider details
- NPI number
- 1386274157
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 24313 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
101 Chelsea Ct
Phoenix, OR 97535-5738
Phone: (541) 497-0136
Approximate (ZIP-level) locationGet directions
Mailing address
101 Chelsea Ct
Phoenix, OR 97535-5738
Registry dates
- Enumerated
- 2020-01-21
- Last updated
- 2021-01-27
- Certified
- 2021-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.