Provider Demographics
NPI:1336903855
Name:ENGLISH, SHANTRINA LASHONA (LMT)
Entity Type:Individual
Prefix:MS
First Name:SHANTRINA
Middle Name:LASHONA
Last Name:ENGLISH
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 1:3228 UNIVERSITY AVE.
Mailing Address - Street 2:STE. 105-106
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31907
Mailing Address - Country:US
Mailing Address - Phone:706-992-6866
Mailing Address - Fax:706-992-6867
Practice Address - Street 1:3228 UNIVERSITY AVE.
Practice Address - Street 2:STE. 105-106
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31907
Practice Address - Country:US
Practice Address - Phone:706-992-6866
Practice Address - Fax:706-992-6867
Is Sole Proprietor?:No
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMT013946225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist