MEDICARE: MS. NATALIE LASHA DAVIS LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	2689	AL

General Provider Information

NPI Number	:	1346127552
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NATALIE LASHA DAVIS LMT

Provider Business Mailing Address
First Line	:	216 COURT ST
Second Line	:
City	:	CHICKASAW
State	:	AL
Zip	:	36611-2126
Country	:	US
Telephone Number	:	251-214-6020
Fax Number	:

Provider Business Practice Location Address
First Line	:	216 COURT ST
Second Line	:
City	:	CHICKASAW
State	:	AL
Zip	:	36611-2126
Country	:	US
Telephone Number	:	251-214-6020
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2025
Last Update Date	:	08/19/2025

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