Kellie Shanks

NPI 1689090607 · on the registry since 2014 · sole proprietor

Practice

Address: 3440 Conway Blvd
3b
Port Charlotte, FL 33952
Phone: (941) 766-1882
Organisation at this address: Peace River Ankle & Foot, Pl
Gulf Coast Sleep Solutions Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: Massage Therapist
225700000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2014-03-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida