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

Shane Hennes

Individual provider Adult Companion · NPI 1225985898

Shane Hennes is an Adult Companion in Mammoth Lakes, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

1290 Tavern Rd
Mammoth Lakes, CA 93546-6601
Phone: (760) 924-1753
Show map & directions

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

Specialties & licences

Adult Companion (primary) Taxonomy 372600000X (CA)

Record details

NPI number1225985898
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 12, 2026
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026
Mailing address1290 Tavern Rd, Mammoth Lakes, CA 93546-6601

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