Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SHAYNE ELIZABETH JOHNSON, MSED
DeactivatedMRS. SHAYNE ELIZABETH JOHNSON, MSED is a Massage Therapist healthcare provider located in BALLSTON LAKE, New York. NPI 1083945521 is deactivated in the NPPES registry. Verify at CMS.
Massage Therapist · BALLSTON LAKE, NY
This NPI has been deactivated.
The record was deactivated on April 12, 2022.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1083945521
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 22, 2010 (12.219178082192 yrs)
- Last Updated
- Jan 2, 2026
- Deactivated
- Apr 12, 2022
- Licenses
-
029455 (NY)011212-1 (NY)
Practice Information
- Address
-
2 ROSELL DRBALLSTON LAKE, NY, 120191433Browse NY providers · Browse ZIP 12019
- Phone
- 5186636000
- Primary Specialty
-
Massage Therapist
225700000X
- Additional Specialty
- Speech, Language and Hearing Specialist
Other Massage Therapist Providers in BALLSTON LAKE, NY
| Name | Credential | NPI |
|---|---|---|
| BRANDI EVE COLLESIDES | LMT | 1184344673 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.