MS. Shaka D Mccormick, LMT

NPI #1083253520 in Saint Louis, Missouri

Provider Information

NPI Number: 1083253520
Entity Type: Individual
Name: MS. Shaka D Mccormick, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jan 1, 2020
Last Updated: Jan 1, 2020

Practice Location

Address: 2804 OSAGE ST
City: Saint Louis
State: Missouri
ZIP Code: 63118-4537
Phone: (314) 448-0143

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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