Richard Daryl Shackleford, LMT is a
Massage Therapist based in Jasper, Alabama. Richard Daryl Shackleford is licensed to practice in Alabama (license number 2388) and his current practice location is
409 10th Ave, Jasper, Alabama. He can be reached at his office (for appointments etc.) via phone at
(205) 876-3177.
NPI number for Richard Daryl Shackleford is 1518664655 and his current mailing address is 4463 Cumby Rd, Quinton, Alabama. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1518664655.
Healthcare Provider's Profile
| Full Name | Richard Daryl Shackleford |
|---|
| Gender | Male |
|---|
| Speciality | Massage Therapist |
|---|
| Location | 409 10th Ave, Jasper, Alabama |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1518664655
- Provider Enumeration Date: 02/09/2023
- Last Update Date: 02/09/2023
Medical Identifiers
Medical identifiers for Richard Daryl Shackleford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518664655 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | 2388 (Alabama) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Richard Daryl Shackleford is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Richard Daryl Shackleford, LMT
4463 Cumby Rd,
Quinton, AL 35130-9196
Ph: (205) 876-3177 | Richard Daryl Shackleford, LMT
409 10th Ave,
Jasper, AL 35501-3630
Ph: (205) 876-3177 |
Reviews and Comments