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Richard Daryl Shackleford, LMT
Massage Therapist in Jasper, Alabama
NPI 1518664655

Richard Daryl Shackleford is a Massage Therapist based in Quinton, AL. Richard Daryl Shackleford practices in Jasper, AL and has the professional credentials of LMT. The NPI Number for Richard Daryl Shackleford is 1518664655 and holds a License No. 2388 (Alabama).

The current practice location address for Richard Daryl Shackleford is 409 10Th Ave, Jasper, AL and can be reached out via phone at 205-876-3177.

Location: 409 10Th Ave, Jasper, AL, 35130-9196
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518664655
Provider Name
Richard Daryl Shackleford
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
409 10Th Ave, Jasper, AL, 35130-9196
Phone Number
205-876-3177
Fax Number
Provider Enumeration Date
02/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
409 10Th Ave
City
Jasper
State
Alabama
Zip
35501-3630
Phone Number
205-876-3177
Fax Number
person
Provider Business Mailing Address Details
Address
409 10Th Ave
City
Jasper
State
Alabama
Zip
35501-3630
Phone Number
205-876-3177
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
2388 (Alabama)
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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