RICHARD DARYL SHACKLEFORD

JASPER, AL
NPI1518664655
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: AL  2388)
Enumeration Date2023-02-09
Last Update Date2023-02-09
Business Address
RICHARD DARYL SHACKLEFORD LMT
409 10TH AVE
JASPER, AL 35501-3630
Phone number: 205-876-3177
Mailing Address
RICHARD DARYL SHACKLEFORD LMT
4463 CUMBY RD
QUINTON, AL 35130-9196
Phone number: 205-876-3177
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