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

Shane Simmons, LMT, CMT

Individual provider Massage Therapist · NPI 1023830130

Shane Simmons, LMT, CMT is a Massage Therapist in Folsom, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

50 Iron Point Cir Ste 100
Folsom, CA 95630-8594
Phone: (916) 836-1111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 72350 (CA)

Record details

NPI number1023830130
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT , CMT
Sole proprietorYes
NPI enumeratedOctober 29, 2024
Last updated in NPPESOctober 29, 2024
Certification dateOctober 29, 2024
Mailing address1718 Pico Rivera Dr, Roseville, CA 95747-5065

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