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

Shane Smith, MT22009

Individual provider Massage Therapist · NPI 1457050577

Shane Smith, MT22009 is a Massage Therapist in Rio Rancho, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2023

Practice location Address checks out

1005 21st St SE Ste 9
Rio Rancho, NM 87124-4030
Phone: (505) 239-9644
Fax: (505) 896-2958
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MT22009 (NM)

Record details

NPI number1457050577
Entity typeIndividual (Type 1)
GenderMale
Credentials MT22009
Sole proprietorYes
NPI enumeratedFebruary 27, 2023
Last updated in NPPESFebruary 27, 2023
Certification dateFebruary 27, 2023
Mailing address1005 21st St Se Ste 9, Rio Rancho, NM 87124-4030

Other providers in Rio Rancho