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Lewinfred Shack, MDIV., LMT
NPI 1629514393 · on the registry since 2017
Practice
- Address
- 7622 Poplar Pike
Germantown, TN 38138 - Phone
- (901) 633-6259
Registry record
- Primary taxonomy
- Massage Therapist
225700000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-05-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee