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LEWINFRED A SHACK MDIV., LMT
NPI 1629514393
Massage Therapist in Germantown, TN

Active since January 18, 2017
7622 POPLAR PIKE, GERMANTOWN, TN 38138(901) 633-6259 Get Directions Write a Review

NPPES record last updated: May 3, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lewinfred A Shack Mdiv., Lmt NPPES

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

LEWINFRED A SHACK MDIV., LMT (NPI 1629514393) is an individual massage therapist in Germantown, Tennessee, licensed in Tennessee (4952) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1629514393
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameLEWINFRED A SHACKCredential: MDIV., LMT
Location Address7622 POPLAR PIKEGermantown, TN 38138-5941
Mailing Address2809 Kirby Rd Ste 116, Pmb 121Memphis, TN 38119-8245 · (901) 633-6259
Phone(901) 633-6259
Sole ProprietorNo
Enumeration DateJanuary 18, 2017
Last NPPES UpdateMay 3, 2017
✔ NPI 1629514393 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 TN · 4952
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.
7622 POPLAR PIKE, Germantown, TN 38138
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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 Lewinfred Shack's NPI number?

The NPI number for Lewinfred Shack is 1629514393. It was assigned to this individual provider in the NPPES registry on January 18, 2017.

Where is Lewinfred Shack located?

Lewinfred Shack practices at 7622 Poplar Pike, Germantown, TN 38138. The listed phone number is (901) 633-6259.

What is Lewinfred Shack'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 Lewinfred Shack was last updated on May 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.