Shannon Bohanek is a Massage Therapist based in Hayden, ID. Shannon Bohanek practices in Hayden, ID. The NPI Number for Shannon Bohanek is 1821709239 and holds a License No. MAS4899 (Idaho).
The current practice location address for Shannon Bohanek is 2151 W Hayden Ave, Hayden, ID and can be reached out via phone at 208-762-6772.
Location: 2151 W Hayden Ave, Hayden, ID, 83835-7414
Provider Profile Details
NPI Number
1821709239
Provider Name
Shannon Bohanek
Credential
Provider Entity Type
Individual
Gender
Female
Address
2151 W Hayden Ave, Hayden, ID, 83835-7414
Phone Number
208-762-6772
Fax Number
Provider Enumeration Date
12/06/2022
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
2151 W Hayden Ave
City
State
Zip
83835-7414
Phone Number
208-762-6772
Fax Number
Provider Business Mailing Address Details
Address
2151 W Hayden Ave
City
State
Zip
83835-7414
Phone Number
208-762-6772
Fax Number
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MAS4899 (Idaho)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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