Individual provider · NPI-1

Shanice Carter

Massage Therapist · Lawrenceville, GA

NPI number1972289734
StatusActive
Last updated in NPPESSep 11, 2026

Details

NPI
1972289734
Entity type
Individual (NPI-1)
Name
Shanice Carter
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 26, 2023
Certification date
Sep 11, 2026
Last updated
Sep 11, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMT014203GAYes
225X00000X Occupational Therapist–GA

Practice location

1397 Bramlett Forest Ct
Lawrenceville, GA 30045-2686

Phone 770-870-7270

Mailing address

1397 Bramlett Forest Ct
Lawrenceville, GA 30045-2686

Phone 770-870-7270

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