Shallon Andrea Church, LMT, RCR is a
Massage Therapist based in Talbott, Tennessee. Shallon Andrea Church is licensed to practice in Tennessee (license number 3283) and her current practice location is
1171 East Highway 11-e, Suite 102, Talbott, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(423) 737-8020.
NPI number for Shallon Andrea Church is 1720499155 and her current mailing address is 1171 East Highway 11-e, Suite 103, Talbott, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720499155.
Healthcare Provider's Profile
| Full Name | Shallon Andrea Church |
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| Gender | Female |
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| Speciality | Massage Therapist |
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| Location | 1171 East Highway 11-e, Talbott, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1720499155
- Provider Enumeration Date: 05/20/2014
- Last Update Date: 05/20/2014
Medical Identifiers
Medical identifiers for Shallon Andrea Church such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720499155 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | 3283 (Tennessee) | 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. Shallon Andrea Church 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 |
|---|
Shallon Andrea Church, LMT, RCR
1171 East Highway 11-e, Suite 103,
Talbott, TN 37877
Ph: (423) 737-8020 | Shallon Andrea Church, LMT, RCR
1171 East Highway 11-e, Suite 102,
Talbott, TN 37877
Ph: (423) 737-8020 |
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