Shane Maroon , CMT
Massage Therapist • Exeter, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Shane Maroon has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Shane Maroon, CMT was a registered Massage Therapist practicing in Exeter, CA. Throughout an active medical career spanning 5 years, Shane Maroon provided care at the practice location at 330 E PINE ST until profile deactivation on 2022-03-02.
Practice Location & Contact Primary Location
330 E Pine St
Exeter, CA 932211838
Specialty Benchmarks & Practice Insights
Comparative analytics for Massage Therapist in Exeter, CA
Practicing in Exeter, CA (5197 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 225700000X
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Family Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner
Physician Assistant
Physician Assistant (Certified)
Pediatrics
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Nurse Practitioner
Nurse Practitioner
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 02, 2022
NPI status registered as active in NPPES database
Registered at 330 E PINE ST, EXETER, CA 932211838 (Tel: 5595922134)
Registered at 37535 CARDINAL LN, SQUAW VALLEY, CA 936759723 (Tel: 5599078111)
Recorded as SHANE MAROON, CMT
Massage Therapist (License #74051 in CA)
NPI status registered as active in NPPES database
Registered at 330 E PINE ST, EXETER, CA 932211838 (Tel: 5599078111)
Registered at 37535 CARDINAL LN, SQUAW VALLEY, CA 936759723 (Tel: 5599078111)
Recorded as SHANE MAROON, CMT
Massage Therapist (License #74051 in CA)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
37535 Cardinal Ln
Squaw Valley, CA 936759723
Phone: 5599078111
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