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

Shanta Renae Tipton, MMT

Individual provider Massage Therapist · NPI 1922930122

Shanta Renae Tipton, MMT is a Massage Therapist in Richmond, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2026

Practice location Address checks out

114 E Main St
Richmond, KY 40475-1986
Phone: (859) 408-3776
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 302040 (KY)

Record details

NPI number1922930122
Entity typeIndividual (Type 1)
GenderFemale
Credentials MMT
Sole proprietorYes
NPI enumeratedJune 1, 2026
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026

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