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Shajuan Virgil, CPED,LMT
Massage Therapist in Thomasville, Georgia
NPI 1649869264

Shajuan Virgil is a Massage Therapist based in Acworth, GA. Shajuan Virgil practices in Thomasville, GA and has the professional credentials of CPED,LMT. The NPI Number for Shajuan Virgil is 1649869264 and holds a License No. CPED4585 (Georgia).

The current practice location address for Shajuan Virgil is 108 Baytree Dr, Thomasville, GA and can be reached out via phone at 678-682-4493. You can also correspond with Shajuan Virgil through the mailing address at PO BOX 2428, ACWORTH, GA - 30102-0008 (mailing address contact number: 678-682-4493).

Location: 108 Baytree Dr, Thomasville, GA, 30102-0008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649869264
Provider Name
Shajuan Virgil
Credential
CPED,LMT
Provider Entity Type
Individual
Gender
Female
Address
108 Baytree Dr, Thomasville, GA, 30102-0008
Phone Number
678-682-4493
Fax Number
Provider Enumeration Date
01/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
108 Baytree Dr
City
Thomasville
State
Georgia
Zip
31792-8861
Phone Number
678-682-4493
Fax Number
person
Provider Business Mailing Address Details
Address
108 Baytree Dr
City
Thomasville
State
Georgia
Zip
31792-8861
Phone Number
678-682-4493
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Pedorthist
Speciality
-
Taxonomy
224L00000X
License No.
MT001526 (Georgia)
Definition
An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
CPED4585 (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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