National Provider Identifier
Shannon McDougald
Shannon McDougald is listed in the NPPES registry with a primary specialty of Massage Therapist in Williamsville, NY and a listed phone number of (716) 580-3044.
Profile Overview
- NPI
- 1801567888
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- September 21, 2021
- Last Updated
- September 21, 2021
Practice Location
- 950 Maple RD
- Williamsville, NY 14221-3329
Phone: (716) 580-3044
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1801567888
- Entity Type
- Individual
- Last Name
- McDougald
- First Name
- Shannon
- Mailing Street Address
- 950 Maple RD
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-3329
- Mailing Country
- US
- Mailing Phone
- (716) 580-3044
- Practice Street Address
- 950 Maple RD
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-3329
- Practice Country
- US
- Practice Phone
- (716) 580-3044
- Enumeration Date
- September 21, 2021
- Last Updated
- September 21, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 21, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)