TAMMIE EL-SHABAZZ LMT
NPI 1164729430
Massage Therapist in Fayetteville, GA
- Individual
- Female
- Massage Therapist
About TAMMIE EL-SHABAZZ
This page provides the complete NPI Profile along with additional information for Tammie El-shabazz, a provider established in Fayetteville, Georgia with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1164729430 assigned on February 2011. The practitioner's primary taxonomy code is 225700000X with license number MT007284 (GA). The provider is registered as an individual and her NPI record was last updated 15 years ago.
- NPI
- 1164729430 Verify this NPI
- Provider Name
- TAMMIE EL-SHABAZZ LMT
- Other Name
- SHAKELA EL-SHABAZZ LMT
- Other Name Type
- Other Name (5)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 185 GLENGARY CT FAYETTEVILLE, GA 30214
- Location Phone
- (313) 574-1490
- Mailing Address
- 185 GLENGARY CT FAYETTEVILLE, GA 30214
- Mailing Phone
- (313) 574-1490
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-22-2011
- Last Update Date
- 02-22-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Massage Therapist
- Taxonomy Code
- 225700000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- MT007284
- License State
- GA
- Taxonomy Description
- 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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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164729430, enumerated as an "individual" on February 22, 2011.
The provider is located at 185 GLENGARY CT FAYETTEVILLE, GA 30214 and the phone number is (313) 574-1490.
Massage Therapist with taxonomy code 225700000X.