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

Kellie Shanks

Individual provider Massage Therapist · NPI 1689090607

Kellie Shanks is a Massage Therapist in Port Charlotte, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2014

Practice location Address checks out

3440 Conway Blvd 3B
Port Charlotte, FL 33952-7000 Not confirmed with CMS for 12 years — call before visiting
Phone: (941) 766-1882
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MA73679 (FL)

Record details

NPI number1689090607
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 14, 2014
Last updated in NPPESMarch 14, 2014

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