Healthcare Provider Details

I. General information

NPI: 1619892247
Provider Name (Legal Business Name): CHERISHD BODYWORKS & ESTHETICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1680 LEANNE LOOP
BASTROP LA
71220-6105
US

IV. Provider business mailing address

1680 LEANNE LOOP
BASTROP LA
71220-6105
US

V. Phone/Fax

Practice location:
  • Phone: 318-515-5905
  • Fax:
Mailing address:
  • Phone: 318-515-5905
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: MS. SHAJARRIA BUTCHER
Title or Position: OWNER OPERATOR
Credential: LMT
Phone: 318-515-5905