Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON BULTENA, LMT
Active Sole ProprietorSHANNON BULTENA, LMT is a Massage Therapist healthcare provider located in OCKLAWAHA, Florida. NPI 1538945282 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · OCKLAWAHA, FL
Registration Details
- NPI Number
- 1538945282
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 7, 2023 (2.9401528812013 yrs)
- Last Updated
- Sep 7, 2023
- License
-
MA100049 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5000 SE 183RD AVENUE RDOCKLAWAHA, FL, 321793339Browse FL providers · Browse ZIP 32179
- Phone
- 7202403696
- Primary Specialty
-
Massage Therapist
225700000X
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.