Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANAVIA NATAE DICKERSON
Active Sole ProprietorSHANAVIA NATAE DICKERSON is a Massage Therapist healthcare provider located in JONESBORO, Georgia. NPI 1104439975 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · JONESBORO, GA
Registration Details
- NPI Number
- 1104439975
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 31, 2020 (5.9134536168324 yrs)
- Last Updated
- Aug 31, 2020
- License
-
MT012487 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1731 TILDEN AVEJONESBORO, GA, 302363744Browse GA providers · Browse ZIP 30236
- Phone
- 4705495131
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in JONESBORO, GA
| Name | Credential | NPI |
|---|---|---|
| CHRISTOPHER COOPER | — | 1598300097 |
| TRACEY PINCKNEY | MT007125 | 1720690647 |
| APRIL C ROSE | LMT | 1851064877 |
| JAMAL ARMSTRONG | LMT | 1245999861 |
| BRITTANY LIEBERMANN | — | 1801509831 |
| ASHLEY TYRUS | — | 1629779277 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.