DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RICHARD DARYL SHACKLEFORD, LMT

Active Sole Proprietor

RICHARD DARYL SHACKLEFORD, LMT is a Massage Therapist healthcare provider located in JASPER, Alabama. NPI 1518664655 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · JASPER, AL

Registration Details

NPI Number
1518664655
Provider Type
Individual
Gender
Male
NPI Issued
Feb 9, 2023 (3.4816093081726 yrs)
Last Updated
Feb 9, 2023
License
2388 (AL)
Sole Proprietor
Yes

Practice Information

Address
409 10TH AVE
JASPER, AL, 355013630
Browse AL providers · Browse ZIP 35501
Phone
2058763177
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in JASPER, AL

Name Credential NPI
MRS. VALERIE S BRADFORD LMT 1518228790
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.