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

Individual provider Massage Therapist · NPI 1154082212

Shannan Rae Dahl, RN, MT is a Massage Therapist in Centreville, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2021
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
MT — Medical Technologist
Performs laboratory testing on clinical specimens.

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Practice location Address checks out

13801 Braddock Springs Rd Apt K
Centreville, VA 20121-4245
Phone: (703) 853-3351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine Registered Nurse (primary) Taxonomy 163WC0200X · Licence 0001298714 (VA)
Massage Therapist Taxonomy 225700000X · Licence 0019011674 (VA)

Record details

NPI number1154082212
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , MT
Sole proprietorYes
NPI enumeratedDecember 31, 2021
Last updated in NPPESDecember 31, 2021
Certification dateDecember 31, 2021

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