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

SHEQUITTA WILKES MASSENBURG, LRT, CTRS

Active Sole Proprietor

SHEQUITTA WILKES MASSENBURG, LRT, CTRS is a Recreation Therapist healthcare provider located in TUSCALOSSA, Alabama. NPI 1598346686 is currently active in the NPPES registry. Verify at CMS.

Recreation Therapist · TUSCALOSSA, AL

Registration Details

NPI Number
1598346686
Provider Type
Individual
Gender
Female
NPI Issued
Apr 20, 2021 (5.3394077745391 yrs)
Last Updated
Apr 20, 2021
License
55100 (NC)
Sole Proprietor
Yes

Practice Information

Address
3701 LOOP RD EAST
REHAB MEDICINE-RECREATION THERAPY
TUSCALOSSA, AL, 35404
Browse AL providers · Browse ZIP 35404
Phone
2055542000
Primary Specialty
Recreation Therapist
225800000X
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.