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Deactivated NPI 1902121049 Deactivated / Inactive NPI Female Practitioner

Shellie Charboneau , CMT

Massage Therapist • Cheboygan, MI

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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, Shellie Charboneau has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 01, 2010
NPI Deactivation Date September 04, 2025
Total Practice Duration ~15 Years of Practice (2010 – 2025)

Professional Overview & Biography Verified Profile Summary

Shellie Charboneau, CMT was a registered Massage Therapist practicing in Cheboygan, MI. Throughout an active medical career spanning 15 years, Shellie Charboneau provided care at the practice location at 321 S. HURON until profile deactivation on 2025-09-04.

Practice Location & Contact Primary Location

Practice Address

321 S. Huron

Cheboygan, MI 49721

Telephone 2312689421

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Cheboygan, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Cheboygan, MI (1978 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Massage Therapist Primary Specialty

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 04, 2025

Record deactivated on September 04, 2025

NPI Profile Active April 01, 2010

NPI status registered as active in NPPES database

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Updated Practice Location April 01, 2010

Registered at 321 S. HURON, CHEBOYGAN, MI 49721 (Tel: 2312689421)

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Updated Business Mailing Address April 01, 2010

Registered at 321 S HURON ST STE C, CHEBOYGAN, MI 497211979 (Tel: 2312689421)

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Provider Name / Credentials Updated April 01, 2010

Recorded as SHELLIE CHARBONEAU, CMT

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2010

Massage Therapist

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Initial NPI Registration & Enumeration April 01, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902121049
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 01, 2010
Last Update: April 01, 2010
Deactivation Date: September 04, 2025

Mailing Address

321 S Huron St Ste C

Cheboygan, MI 497211979

Phone: 2312689421

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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