Individual provider · Type 1 NPI

Gloria Jean Shackelford

Massage Therapist · Wauchula, FL

NPI number 1609261056 Active

Practice location

114 W Orange St
Wauchula, FL 33873

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA33289 (FL)

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 1609261056

Gloria Jean Shackelford's National Provider Identifier is 1609261056, issued on Apr 2, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Wauchula, FL. The record was last updated on Apr 2, 2015.