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

Shannon Bohanek

Individual provider Massage Therapist · NPI 1821709239

Shannon Bohanek is a Massage Therapist in Hayden, Idaho. Licensed in Idaho. Registered with an NPI since 2022.

Licensed in
ID
In the registry since
2022

Practice location Address checks out

2151 W Hayden Ave
Hayden, ID 83835-7414
Phone: (208) 762-6772
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MAS4899 (ID)

Record details

NPI number1821709239
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 6, 2022
Last updated in NPPESDecember 29, 2022
Certification dateDecember 29, 2022
Mailing address2151 W Hayden Ave, Hayden, ID 83835-7414

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