Shera Elice McNeely, LMT
Individual provider Active NPI Massage Therapist · Gladewater, TX
NPI 1518257526 · NPPES record last updated Apr 11, 2011
Key facts
- NPI
- 1518257526
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- LMT#111762 (TX)
- Practice address
- 500 Allison St
Suite a
Gladewater, TX 75647-2214 - Phone
- (903) 720-8934
- NPI assigned
- Apr 11, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMT#111762 | TX | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | LMT#111762 | TX | Yes |
Addresses
Primary practice location
500 Allison St
Suite a
Gladewater, TX 75647-2214
Mailing address
500 Allison St
Suite a
Gladewater, TX 75647-2214
Phone (903) 720-8934
Other providers in Gladewater, TX
- Geraci Mack
- Debra Sue Mahoney
- Thomas Vincent Mahoney
- Lacy N Martinho
- Erin Sharpton McElhaney
- Michelle'S Salon of Cuts and Styles/ Non-Surgical Hair Replacement Center
- Trinity Ann Mooney
- Tracey Moore
- Lakevinya Moss
- Bryan Muench
All providers in Gladewater, TX · Massage Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.