Individual provider · Type 1 NPI
Tieasha Shepherd
Massage Therapist · Valdosta, GA
NPI number
1609695592
Active
Practice location
235 Northside Dr
Valdosta, GA 31602-1859
Mailing address
4301 Bemiss Rd Apt C101
Valdosta, GA 31605-6133
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT014905 (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 1609695592
Tieasha Shepherd's National Provider Identifier is 1609695592, issued on Oct 8, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Valdosta, GA. The record was last updated on Oct 8, 2024.