Shannon Welch, is a
Massage Therapist based in Massillon, Ohio. Shannon Welch is licensed to practice in Ohio (license number 33011711T-Z) and his current practice location is
7266 Portage St Nw, Massillon, Ohio. He can be reached at his office (for appointments etc.) via phone at
(330) 818-1212.
NPI number for Shannon Welch is 1306484399 and his current mailing address is 7266 Portage St Nw, Massillon, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306484399.
Healthcare Provider's Profile
| Full Name | Shannon Welch |
|---|
| Gender | Male |
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| Speciality | Massage Therapist |
|---|
| Location | 7266 Portage St Nw, Massillon, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1306484399
- Provider Enumeration Date: 12/20/2019
- Last Update Date: 12/20/2019
Medical Identifiers
Medical identifiers for Shannon Welch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306484399 | NPI | - | NPPES |
| 33011711T-Z | Other | | LMT |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | 33011711T-Z (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Welch is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Shannon Welch,
7266 Portage St Nw,
Massillon, OH 44646-7986
Ph: (330) 818-1212 | Shannon Welch,
7266 Portage St Nw,
Massillon, OH 44646-7986
Ph: (330) 818-1212 |
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