Shannon Michelle Innis-Gielissen, CMP, AIMI, CYI

NPI #1386005916 in Aptos, California

Provider Information

NPI Number: 1386005916
Entity Type: Individual
Name: Shannon Michelle Innis-Gielissen, CMP, AIMI, CYI
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: CMP, AIMI, CYI
Enumeration Date: Mar 9, 2016
Last Updated: Mar 9, 2016

Practice Location

Address: 6108 JASON CT
City: Aptos
State: California
ZIP Code: 95003-6012
Phone: (831) 419-7552

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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