Richard Daryl Shackleford, LMT

NPI #1518664655 in Jasper, Alabama

Provider Information

NPI Number
1518664655
Entity Type
Individual
Name
Richard Daryl Shackleford, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Feb 9, 2023
Last Updated
Feb 9, 2023

Practice Location

Address
409 10TH AVE
City
Jasper
State
Alabama
ZIP Code
35501-3630
Phone
(205) 876-3177

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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