Individual provider · Type 1 NPI

Tanisha Shanelle Davis, PTA, LMBT

Massage Therapist · Fayetteville, NC

NPI number 1497265839 Active

Practice location

823 Elm St
Fayetteville, NC 28303-4172

Call (910) 929-4488 Map

Mailing address

303 Bonita Ct
Fayetteville, NC 28314-1722

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant 225200000XA5872 (NC)
Massage Therapist Primary 225700000X22449 (NC)

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.

4 other providers at this address

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About NPI 1497265839

Tanisha Shanelle Davis, PTA, LMBT's National Provider Identifier is 1497265839, issued on Oct 11, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fayetteville, NC. The record was last updated on Aug 6, 2025.