Active NPI
Shalika Chanae Williams, LMT
- Massage Therapist
- Manchester, GA
National Provider Identifier
1871483479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT014195
- Practice address
- 9 Dallas St
Manchester, GA 31816-1704 - Phone
- (706) 672-7793
- NPI assigned
- Jul 7, 2025
- Last updated
- Jul 7, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA93928 | FL | |
| Massage Therapist | 225700000X | MT014195 | GA | Primary |
Addresses
Primary practice location
9 Dallas St
Manchester, GA 31816-1704
Mailing address
9 Dallas St
Manchester, GA 31816-1704
Phone (706) 672-7793
Other names 1
- Xtrodinary Touche LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA93928 | FL | MD | Massage Therapist |
| MT014195 | GA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751846400000",
"number": "1871483479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 DALLAS ST",
"city": "MANCHESTER",
"state": "GA",
"postal_code": "318161704",
"telephone_number": "706-672-7793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 DALLAS ST",
"city": "MANCHESTER",
"state": "GA",
"postal_code": "318161704",
"telephone_number": "706-672-7793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "SHALIKA",
"middle_name": "CHANAE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-07",
"last_updated": "2025-07-07",
"certification_date": "2025-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA93928",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT014195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "XTRODINARY",
"last_name": "TOUCHE LLC",
"credential": "LMT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Manchester, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.