Provider Demographics
NPI:1356080568
Name:ANDREWS, SHANSI N (LMT)
Entity type:Individual
Prefix:MS
First Name:SHANSI
Middle Name:N
Last Name:ANDREWS
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 1:3737 REDAN RD APT 601
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30032-2342
Mailing Address - Country:US
Mailing Address - Phone:404-408-9655
Mailing Address - Fax:
Practice Address - Street 1:908 PAVILION CT STE E
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-6662
Practice Address - Country:US
Practice Address - Phone:470-662-4335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-03
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMT013818225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist