| Shane Michael Nelson, | |
| 413 Woodfield Dr, Piedmont, SC 29673-8373 | |
| (864) 209-0818 | |
| Not Available | 
| Full Name | Shane Michael Nelson | 
|---|---|
| Gender | Male | 
| Speciality | Massage Therapist | 
| Location | 413 Woodfield Dr, Piedmont, South Carolina | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1356628168 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225700000X | Massage Therapist | MAS6659 (South Carolina) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Shane Michael Nelson, 413 Woodfield Dr, Piedmont, SC 29673-8373 Ph: () - | Shane Michael Nelson, 413 Woodfield Dr, Piedmont, SC 29673-8373 Ph: (864) 209-0818 | 
| Mrs. Darlene Theresa Cooke,  Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 New Cut Rd, Piedmont, SC 29673 Phone: 864-947-9320 Fax: 864-402-0277 | |
| Lyncola L. Gibson, LMT/CEO Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 607 Emily Ln Apt 3212, Piedmont, SC 29673 Phone: 864-401-7773 | |
| Mrs. Kristie Dianna Powell, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 218 Burr Oak Ln, Piedmont, SC 29673 Phone: 864-871-3494 | |
| Dennis Marion Nelson, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 413 Woodfield Dr, Piedmont, SC 29673 Phone: 864-517-9286 |