Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lewinfred A Shack, MDIV, LMT

Individual provider Massage Therapist · NPI 1629514393

Lewinfred A Shack, MDIV, LMT is a Massage Therapist in Germantown, Tennessee. Licensed in Tennessee. Registered with an NPI since 2017.

Licensed in
TN
In the registry since
2017
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

7622 Poplar Pike
Germantown, TN 38138-5941
Phone: (901) 633-6259
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 4952 (TN)

Record details

NPI number1629514393
Entity typeIndividual (Type 1)
GenderMale
Credentials MDIV , LMT
Sole proprietorNo
NPI enumeratedJanuary 18, 2017
Last updated in NPPESMay 3, 2017