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Lewinfred A Shack, MDIV,LMT
Massage Therapist in Germantown, Tennessee
NPI 1629514393

Lewinfred A Shack is a Massage Therapist based in Memphis, TN. Lewinfred A Shack practices in Germantown, TN and has the professional credentials of MDIV,LMT. The NPI Number for Lewinfred A Shack is 1629514393 and holds a License No. 4952 (Tennessee).

The current practice location address for Lewinfred A Shack is 7622 Poplar Pike, Germantown, TN and can be reached out via phone at 901-633-6259.

Location: 7622 Poplar Pike, Germantown, TN, 38119-8245
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629514393
Provider Name
Lewinfred A Shack
Credential
MDIV,LMT
Provider Entity Type
Individual
Gender
Male
Address
7622 Poplar Pike, Germantown, TN, 38119-8245
Phone Number
901-633-6259
Fax Number
Provider Enumeration Date
01/18/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7622 Poplar Pike
City
Germantown
State
Tennessee
Zip
38138-5941
Phone Number
901-633-6259
Fax Number
person
Provider Business Mailing Address Details
Address
7622 Poplar Pike
City
Germantown
State
Tennessee
Zip
38138-5941
Phone Number
901-633-6259
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
4952 (Tennessee)
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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