Shianan Fae Erb
Massage Therapist in Martinez, GA. Individual provider (NPI-1).
NPI number1609568286
StatusActive
Last updated in NPPESMay 23, 2023
Details
- NPI
- 1609568286
- Entity type
- Individual (NPI-1)
- Name
- Shianan Fae Erb
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 23, 2023
- Certification date
- May 23, 2023
- Last updated
- May 23, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MT014321 | GA | Yes |
Other names
- Shianan Greene (Former Name)
Practice location
211 Bobby Jones Expy Ste CMartinez, GA 30907-5253
Phone 706-860-3355 · Fax 706-860-8765
Mailing address
211 Bobby Jones Expy Ste CMartinez, GA 30907-5253
Phone 706-860-3355 · Fax 706-860-8765
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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