Provider Demographics
NPI:1518628213
Name:SINGLETON, SHEMICYA (LMT)
Entity Type:Individual
Prefix:
First Name:SHEMICYA
Middle Name:
Last Name:SINGLETON
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13627 BROOKVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70815-6494
Mailing Address - Country:US
Mailing Address - Phone:504-606-1755
Mailing Address - Fax:
Practice Address - Street 1:13627 BROOKVIEW AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70815-6494
Practice Address - Country:US
Practice Address - Phone:504-606-1755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-05
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA8319OtherLABMT