Individual
SHAKYRA TATYANA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
SC
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
SC
171400000X
Health & Wellness Coach
—
SC
226300000X
Kinesiotherapist
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302611321
—
SC
05
—
850000309
—
SC
Enumeration date
07/14/2021
Last updated
10/27/2025
Update your record
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