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Individual

TANISHA A SHEPHERD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
501 GATEWAY DR STE 104, CLAYTON, NC 27520-2278
(919) 550-9355
Mailing address
1040 COVE CIR, CLAYTON, NC 27520-5977
(919) 631-4271

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17738
NC

Other

Enumeration date
12/31/2025
Last updated
12/31/2025
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