Individual
SHANNON WELLS FEMENIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4695 W FARM VIEW DR, BOISE, ID 83714-9325
(208) 801-3801
Mailing address
4695 W FARM VIEW DR, BOISE, ID 83714-9325
(208) 801-3801
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG-2004
ID
Other
Enumeration date
05/16/2026
Last updated
05/16/2026
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