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GLORIA JEAN SHACKELFORD
NPI 1609261056
Massage Therapist in Wauchula, FL

Active since April 02, 2015
114 W ORANGE ST, WAUCHULA, FL 33873(863) 773-5646 Get Directions Write a Review

NPPES record last updated: April 2, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gloria Jean Shackelford NPPES

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

GLORIA JEAN SHACKELFORD (NPI 1609261056) is an individual massage therapist in Wauchula, Florida, licensed in Florida (MA33289) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1609261056
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameGLORIA JEAN SHACKELFORD
Location Address114 W ORANGE STWauchula, FL 33873
Mailing Address114 W Orange StWauchula, FL 33873-2826 · (863) 773-5646
Phone(863) 773-5646
Sole ProprietorYes
Enumeration DateApril 2, 2015
✔ NPI 1609261056 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 FL · MA33289
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.

114 W ORANGE ST, Wauchula, FL 33873
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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 Gloria Shackelford's NPI number?

The NPI number for Gloria Shackelford is 1609261056. It was assigned to this individual provider in the NPPES registry on April 2, 2015.

Where is Gloria Shackelford located?

Gloria Shackelford practices at 114 W Orange St, Wauchula, FL 33873. The listed phone number is (863) 773-5646.

What is Gloria Shackelford'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 Gloria Shackelford was last updated on April 2, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.