Individual provider · Type 1 NPI

Shanavia Natae Dickerson

Massage Therapist · Jonesboro, GA

NPI number 1104439975 Active

Practice location

1731 Tilden Ave
Jonesboro, GA 30236-3744

Call (470) 549-5131 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT012487 (GA)

Massage Therapist: 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.

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About NPI 1104439975

Shanavia Natae Dickerson's National Provider Identifier is 1104439975, issued on Aug 31, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Jonesboro, GA. The record was last updated on Aug 31, 2020.