| Jordan Devon Shelton, | |
|
948 Ga-138, Riverdale, GA 30296 | |
| (404) 966-9451 | |
| Not Available |
| Full Name | Jordan Devon Shelton |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 948 Ga-138, Riverdale, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316691496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MT010523 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Devon Shelton, 948 Ga-138, Riverdale, GA 30296 Ph: (404) 966-9451 | Jordan Devon Shelton, 948 Ga-138, Riverdale, GA 30296 Ph: (404) 966-9451 |
Mrs. Brigette Clark Duncan, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1514 Wynthrope Way # 1514, Riverdale, GA 30274 Phone: 678-531-2894 | |
Ms. Tamara Aundrea Green, MT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 8249 Creekline Ct, Riverdale, GA 30274 Phone: 404-399-4859 | |
Chantal Smith, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 295 Brookview Dr, Riverdale, GA 30274 Phone: 678-429-8094 |