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RICHARD DARYL SHACKLEFORD LMT
NPI 1518664655
Massage Therapist in Jasper, AL

Active since February 09, 2023
409 10TH AVE, JASPER, AL 35501(205) 876-3177 Get Directions Write a Review

NPPES record last updated: February 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Richard Daryl Shackleford Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICHARD DARYL SHACKLEFORD LMT (NPI 1518664655) is an individual massage therapist in Jasper, Alabama, licensed in Alabama (2388) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1518664655
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameRICHARD DARYL SHACKLEFORDCredential: LMT
Location Address409 10TH AVEJasper, AL 35501-3630
Mailing Address4463 Cumby RdQuinton, AL 35130-9196 · (205) 876-3177
Phone(205) 876-3177
Sole ProprietorYes
Enumeration DateFebruary 9, 2023
NPPES CertifiedFebruary 9, 2023
✔ NPI 1518664655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in AL · 2388
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.
409 10TH AVE, Jasper, AL 35501
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Shackleford's NPI number?

The NPI number for Richard Shackleford is 1518664655. It was assigned to this individual provider in the NPPES registry on February 9, 2023.

Where is Richard Shackleford located?

Richard Shackleford practices at 409 10th Ave, Jasper, AL 35501. The listed phone number is (205) 876-3177.

What is Richard Shackleford's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Richard Shackleford was last updated on February 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.