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

Kellie Shanks

Individual provider Massage Therapist · NPI 1689090607

Kellie Shanks is a Massage Therapist in Port Charlotte, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2014

Practice location Address checks out

3440 Conway Blvd 3B
Port Charlotte, FL 33952-7000
Phone: (941) 766-1882
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MA73679 (FL)

Record details

NPI number1689090607
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 14, 2014
Last updated in NPPESMarch 14, 2014
Mailing address3440 Conway Blvd, 3b, Port Charlotte, FL 33952-7000

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