LEWINFRED A SHACK (NPI# 1629514393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629514393 |
| Entity Type | Individual |
| Full Name | LEWINFRED A SHACK |
| Credential | MDIV., LMT |
| Practice Address |
7622 Poplar Pike Germantown TN 38138-5941 |
| Mailing Address |
2809 Kirby Rd Ste 116 Pmb 121 Memphis TN 38119-8245 |
| Practice Telephone | 9016336259 |
| Mailing Telephone | 9016336259 |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2017-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 4952 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
7622 POPLAR PIKE |
| City | GERMANTOWN |
| State | TN |
| Zip Code | 38138-5941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382281 | Bluff Medical Group | Nurse Practitioner | 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 | 2020-10-07 |
| 1689293797 | Diana Bryn Manning | Dietitian, Registered | 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 | 2020-04-09 |
| 1386102796 | Moscow Group LLC | Pharmacy | 2013 Exeter Rd, Germantown, TN 38138 | 2019-03-05 |
| 1952811010 | Select | Counselor | 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 | 2017-10-03 |
| 1033638994 | 901 Physical Therapy, Pllc | Physical Therapist | 2495 Regents Walk, Germantown, TN 38138 | 2017-09-12 |
| 1124552401 | Elite Dental Germantown Plc | Dentist | 9064 Corporate Gradens Drive, Germantown, TN 38138 | 2017-04-13 |
| 1740728880 | Christian C Haynes | Nurse Anesthetist, Certified Registered | 1900 Exeter Rd., Suite 210, Germantown, TN 38138 | 2017-02-09 |
| 1740644004 | Kimberly Brooke Scheidegger | Counselor | 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 | 2016-04-12 |
| 1427411644 | Jimmy Tam Tran | Internal Medicine | 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 | 2016-04-04 |
| 1952761876 | Jane Chin Wynn Yeoh | Orthopaedic Surgery | 1400 South Germantown Road, Germantown, TN 38138 | 2016-03-04 |
| Find all providers in zip 38138 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271696 | Mei H Yi | Massage Therapist | 13343 Neerwinder Pl, Germantown, MD 20874-2879 | 2020-09-23 |
| 1639701717 | Adansepipim Oforiatta | Massage Therapist | 20528 Boland Farm Rd, Germantown, MD 20876-4021 | 2020-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730788274 | Gary Justin Farr | Massage Therapist | 978 Fred Ford Rd, Crossville, TN 38571-0261 | 2020-10-24 |
| 1548868078 | Brian Christopher Covington | Massage Therapist | 93 Weakley Ln Apt B20, Smyrna, TN 37167-4368 | 2020-10-16 |
| 1598363012 | Derrick Dewayne Crawford | Massage Therapist | 4701 Old Hickory Blvd Apt C202, Old Hickory, TN 37138-2073 | 2020-10-16 |
| 1003414293 | Jack Weair Wooten Jr. | Massage Therapist | 2612 W Heiman St Apt D38, Nashville, TN 37208-1818 | 2020-10-12 |
| 1982211421 | Jason Joseph | Massage Therapist | 173 Whitman Aly, Clarksville, TN 37043-6340 | 2020-09-29 |
| 1992312987 | Louise Thackston Rikard | Massage Therapist | 483 Russell Hill Rd, Speedwell, TN 37870-7161 | 2020-09-24 |
| 1275149320 | Zachary Reagan Riddle | Massage Therapist | 206 Copper Ridge Trl, Rockvale, TN 37153-4655 | 2020-09-23 |
| 1497361729 | Marie C Anderson | Massage Therapist | 3157 Skinner Dr, Antioch, TN 37013-3965 | 2020-09-22 |
| 1982210340 | Ashley Hiatt | Massage Therapist | 514 Peach Creek Cres, Nashville, TN 37214-3351 | 2020-09-21 |
| 1922613587 | Tina Marie Bridges Byaridge | Massage Therapist | 300 E Vine St, Murfreesboro, TN 37130-4248 | 2020-09-10 |
| Find all providers with the same taxonomy | ||||
| City | GERMANTOWN |
| Zip Code | 38138 |
Please comment or provide details below to improve the information on LEWINFRED A SHACK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.