Provider Demographics
NPI:1417836255
Name:SHEARER, CHRISTINA (MASSAGE THERAPIST)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:SHEARER
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46234 284TH ST
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:SD
Mailing Address - Zip Code:57021-6108
Mailing Address - Country:US
Mailing Address - Phone:254-394-9916
Mailing Address - Fax:
Practice Address - Street 1:4900 E 57TH ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-8767
Practice Address - Country:US
Practice Address - Phone:605-951-9650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDMT11158225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist