NPI

Shannon Fernandes

NPI 1285316950

Read from the NPPES registry on October 24, 2026.

Facts

Status
Active
Credential
C.M.T.,C.R.
Type
Individual
Enumeration date
2023-08-02
Last updated
2023-08-02

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Specialties

Licenses

License CA
18345

Location

Practice location
1101 Standiford Ave Ste B6
City
Modesto CA
Postal code
95350-0981
Phone
(209) 484-5683

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Massage Therapists in Modesto, CA. 49 with this primary taxonomy in the public file.

Other NPIs in Modesto, CA. 10,730 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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