Individual provider · Type 1 NPI

Shanta Renae Tipton, MMT

Massage Therapist · Richmond, KY

NPI number 1922930122 Active

Practice location

114 E Main St
Richmond, KY 40475-1986

Call (859) 408-3776 Map

Mailing address

301 3rd St
Ravenna, KY 40472-1410

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X302040 (KY)

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 1922930122

Shanta Renae Tipton, MMT's National Provider Identifier is 1922930122, issued on Jun 1, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Richmond, KY. The record was last updated on Jun 1, 2026.