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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT000393 (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.