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MS. LA SHAN BRIDGET ETTRESS MT
NPI 1609480979
Massage Therapist in Mcdonough, GA

Active since September 03, 2020
1660 NEIGHBORHOOD WALK, MCDONOUGH, GA 30252(323) 835-7306 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 4, 2022, Sep 3, 2020 (2 updates tracked since 2020).

About Ms. La Shan Bridget Ettress Mt NPPES

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

MS. LA SHAN BRIDGET ETTRESS MT (NPI 1609480979) is an individual massage therapist in Mcdonough, Georgia, licensed in Georgia (MT012485) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1609480979
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMS. LA SHAN BRIDGET ETTRESSCredential: MT
Location Address1660 NEIGHBORHOOD WALKMcdonough, GA 30252-8645
Mailing Address100 Postmaster Dr Unit 3082Mcdonough, GA 30253-2832 · (678) 719-9703
Phone(323) 835-7306
Sole ProprietorYes
Enumeration DateSeptember 3, 2020
Last NPPES UpdateFebruary 4, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2022
✔ NPI 1609480979 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 GA · MT012485
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.
1660 NEIGHBORHOOD WALK, Mcdonough, GA 30252
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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 La Shan Ettress's NPI number?

The NPI number for La Shan Ettress is 1609480979. It was assigned to this individual provider in the NPPES registry on September 3, 2020.

Where is La Shan Ettress located?

La Shan Ettress practices at 1660 Neighborhood Walk, Mcdonough, GA 30252. The listed phone number is (323) 835-7306.

What is La Shan Ettress'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 La Shan Ettress was last updated on February 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.