Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEWINFRED A SHACK, MDIV., LMT
ActiveLEWINFRED A SHACK, MDIV., LMT is a Massage Therapist healthcare provider located in GERMANTOWN, Tennessee. NPI 1629514393 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · GERMANTOWN, TN
Registration Details
- NPI Number
- 1629514393
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 18, 2017 (9.6140141439685 yrs)
- Last Updated
- May 3, 2017
- License
-
4952 (TN)
Practice Information
- Address
-
7622 POPLAR PIKEGERMANTOWN, TN, 381385941Browse TN providers · Browse ZIP 38138
- Phone
- 9016336259
- Primary Specialty
-
Massage Therapist
225700000X
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.