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Stephanie Shockley, LMT
Massage Therapist in Tucker, Georgia
NPI 1457924342

Stephanie Shockley is a Massage Therapist based in Tucker, GA. Stephanie Shockley practices in Tucker, GA and has the professional credentials of LMT. The NPI Number for Stephanie Shockley is 1457924342 and holds a License No. MT008898 (Georgia).

The current practice location address for Stephanie Shockley is 3535 Lawrenceville Hwy, Tucker, GA and can be reached out via phone at 404-764-8499.

Location: 3535 Lawrenceville Hwy, Tucker, GA, 30084-5230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457924342
Provider Name
Stephanie Shockley
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
3535 Lawrenceville Hwy, Tucker, GA, 30084-5230
Phone Number
404-764-8499
Fax Number
Provider Enumeration Date
07/20/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MT008898 01 GA GEORGIA BOARD OF MASSAGE THERAPY
institution
Provider Business Practice Location Address Details
Address
3535 Lawrenceville Hwy
City
Tucker
State
Georgia
Zip
30084-5805
Phone Number
404-764-8499
Fax Number
person
Provider Business Mailing Address Details
Address
3535 Lawrenceville Hwy
City
Tucker
State
Georgia
Zip
30084-5805
Phone Number
404-764-8499
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT008898 (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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