MISS Tameika Renee Shackleford, LMP

NPI #1528586500 in Northport, Washington

Provider Information

NPI Number: 1528586500
Entity Type: Individual
Name: MISS Tameika Renee Shackleford, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Aug 30, 2017
Last Updated: Aug 30, 2017

Practice Location

Address: 320 CENTER AVE
Address 2: SUITE C
City: Northport
State: Washington
ZIP Code: 99157-9731
Phone: (509) 690-1471

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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Organizations

Provider Name	Specialty	City
Northport Massage Company, LLC	Massage Therapist	Northport	AI Deep Dive

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