Individual provider · Type 1 NPI

Shanell Mitchell, LMT

Massage Therapist · Hiram, GA

NPI number 1750584751 Active

Practice location

5157 Jimmy Lee Smith Pkwy, Suite 209
Hiram, GA 30141-2785

Mailing address

457 Nathan Dean Blvd, Suite 105-313
Dallas, GA 30132-4911

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT000393 (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 1750584751

Shanell Mitchell, LMT's National Provider Identifier is 1750584751, issued on Jun 7, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Hiram, GA. The record was last updated on Jul 20, 2009.