MEDICARE: HANNAH SHIPLEY MA00022956

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MA00022956	WA

General Provider Information

NPI Number	:	1013842442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH SHIPLEY MA00022956

Provider Business Mailing Address
First Line	:	15462 MCLEAN RD
Second Line	:
City	:	MOUNT VERNON
State	:	WA
Zip	:	98273-8729
Country	:	US
Telephone Number	:	360-941-9345
Fax Number	:

Provider Business Practice Location Address
First Line	:	1420 ROOSEVELT AVE STE 6
Second Line	:
City	:	MOUNT VERNON
State	:	WA
Zip	:	98273-2687
Country	:	US
Telephone Number	:	360-941-9345
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2026
Last Update Date	:	06/16/2026

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