Individual provider · Type 1 NPI

Shajuan Virgil, C.PED., LMT

Massage Therapist · Thomasville, GA

NPI number 1649869264 Active

Practice location

108 Baytree Dr
Thomasville, GA 31792-8861

Mailing address

PO Box 2428
Acworth, GA 30102-0008

Specialties and licenses

TaxonomyCodeLicense
Pedorthist 224L00000XCPED4585 (GA)
Massage Therapist Primary 225700000XMT001526 (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 1649869264

Shajuan Virgil, C.PED., LMT's National Provider Identifier is 1649869264, issued on Jan 18, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Thomasville, GA. The record was last updated on Jan 18, 2021.