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Shanavia Natae Dickerson
Massage Therapist in Jonesboro, Georgia
NPI 1104439975

Shanavia Natae Dickerson is a Massage Therapist based in Jonesboro, GA. Shanavia Natae Dickerson practices in Jonesboro, GA. The NPI Number for Shanavia Natae Dickerson is 1104439975 and holds a License No. MT012487 (Georgia).

The current practice location address for Shanavia Natae Dickerson is 1731 Tilden Ave, Jonesboro, GA and can be reached out via phone at 470-549-5131.

Location: 1731 Tilden Ave, Jonesboro, GA, 30236-3744
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104439975
Provider Name
Shanavia Natae Dickerson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1731 Tilden Ave, Jonesboro, GA, 30236-3744
Phone Number
470-549-5131
Fax Number
Provider Enumeration Date
08/31/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1731 Tilden Ave
City
Jonesboro
State
Georgia
Zip
30236-3744
Phone Number
470-549-5131
Fax Number
person
Provider Business Mailing Address Details
Address
1731 Tilden Ave
City
Jonesboro
State
Georgia
Zip
30236-3744
Phone Number
470-549-5131
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT012487 (Georgia)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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