Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carlyssa Shinelle Bucknor

Individual provider Massage Therapist · NPI 1801649322

Carlyssa Shinelle Bucknor is a Massage Therapist in Orange Park, Florida. Licensed in Florida. Registered with an NPI since 2024.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

1801 Wells Rd Ste 306
Orange Park, FL 32073-2324
Phone: (904) 351-8530
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MA63694 (FL)

Record details

NPI number1801649322
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 8, 2024
Last updated in NPPESApril 8, 2024
Certification dateApril 6, 2024

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