Doctor Name: | MS. SHAWNTINA LASHAWN NEAL |
NPI Number: | 1992094452 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MASSAGE THERAPIST |
License Number: | MT209001009 |
Business Practice Address: | 706 Ridge Rd Munster, IN - 463211612 |
Business Phone Number: | 2198368892 |
Business Fax Number: | 2198362244 |
Mailing Address: | 706 Ridge Rd, MUNSTER |
State: | IN |
Postal Code: | 463211612 |
Phone Number: | 2198368890 |
Fax Number: | |
NPI Enumeration Date: | 04/05/2011 |
NPI Last Update Date: | 07/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MT209001009 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy 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. |