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

Tieasha Shepherd

Individual provider Massage Therapist · NPI 1609695592

Tieasha Shepherd is a Massage Therapist in Valdosta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2024
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Practice location Address checks out

235 Northside Dr
Valdosta, GA 31602-1859
Phone: (229) 531-3835
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MT014905 (GA)

Record details

NPI number1609695592
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 8, 2024
Last updated in NPPESOctober 8, 2024
Certification dateOctober 8, 2024
Mailing address4301 Bemiss Rd Apt C101, Valdosta, GA 31605-6133

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