NPI 1164729430

Tammie El-Shabazz, LMT

Practitioner Massage Therapist Fayetteville, GA

Practice location

Address: 185 Glengary CT, Fayetteville, GA 30214-7379
Phone: (313) 574-1490

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT007284 (GA)

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Registry record

NPI: 1164729430
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Feb 2011
Record last updated: 22 Feb 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.