Individual
SHATERRA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 TIBET AVE APT 204D, SAVANNAH, GA 31406-5560
(904) 719-4491
Mailing address
125 TIBET AVE APT 204D, SAVANNAH, GA 31406-5560
(904) 719-4491
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
011849
GA
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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