| Michael Shane Williams, | |
|
2100 Benton Rd Ste A, Bossier City, LA 71111-3581 | |
| (318) 401-4994 | |
| Not Available |
| Full Name | Michael Shane Williams |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 2100 Benton Rd Ste A, Bossier City, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619294436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 7593 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Shane Williams, 6594 Oak Valley Dr, Shreveport, LA 71107-8766 Ph: (318) 401-4994 | Michael Shane Williams, 2100 Benton Rd Ste A, Bossier City, LA 71111-3581 Ph: (318) 401-4994 |
Mrs. Sara G Coleman, LMT #8705 Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 4330 Panther Dr Ste 206, Bossier City, LA 71112 Phone: 318-286-0155 |
Ms. Amanda Anastasia Dupas, LMT, CMMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1914 Citizens Bank Dr, Bossier City, LA 71111 Phone: 318-780-6560 |
Sanerica Tanisha Gipson, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 2704 Shed Rd Apt 126d, Bossier City, LA 71111 Phone: 318-455-8291 |
Ms. Tina R Leeth, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 4330 Panther Dr Ste 214, Bossier City, LA 71112 Phone: 318-286-0155 |
Susan Prest, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 2450 Hospital Dr Ste 160, Bossier City, LA 71111 Phone: 318-210-9770 |