Shaka D. McCormick, LMT

Massage Therapist · Saint Louis, MO

Individual Active NPI

NPI number 1083253520

Practice location

2804 Osage St
Saint Louis, MO 63118-4537
Phone
(314) 448-0143

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NPI record

NPI
1083253520
Entity type
Individual (Type 1)
Enumeration date
January 1, 2020
Last updated
January 1, 2020
Certified
January 1, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Massage Therapist Primary 225700000X 2019000899 MO

Mailing address

PO Box 27041
Saint Louis, MO 63118-0041
Phone
(618) 918-1245

About Shaka McCormick

Shaka D. McCormick, LMT is a healthcare provider registered in the NPI registry with the primary taxonomy Massage Therapist (code 225700000X). The practice location is 2804 Osage St, Saint Louis, MO 63118-4537. The NPI number 1083253520 was assigned on January 1, 2020 and the record was last updated on January 1, 2020.

Shaka McCormick lists a license in the registry: #2019000899 (MO) for Massage Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Shaka D. McCormick, LMT?

The NPI number is 1083253520.

What is the phone number of Shaka McCormick?

The phone number listed for the practice location is (314) 448-0143.

Where is Shaka McCormick located?

2804 Osage St, Saint Louis, MO 63118-4537.

What is the taxonomy code for Shaka McCormick?

The primary taxonomy code is 225700000X – Massage Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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