LEWINFRED A SHACK

GERMANTOWN, TN
NPI1629514393
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225700000X Massage Therapist
(Licence: TN  4952)
Enumeration Date2017-01-18
Last Update Date2017-05-03
Business Address
-- LEWINFRED A SHACK MDiv., LMT
7622 POPLAR PIKE
GERMANTOWN, TN 38138-5941
Phone number: 901-633-6259
Mailing Address
-- LEWINFRED A SHACK MDiv., LMT
2809 KIRBY RD STE 116 PMB 121
MEMPHIS, TN 38119-8245
Phone number: 901-633-6259