MEDICARE: JASON SHIVERS 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	8452	AR

General Provider Information

NPI Number	:	1417482233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON SHIVERS LMT

Provider Business Mailing Address
First Line	:	923 W CHARLES BUSSEY AVE
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72206-1110
Country	:	US
Telephone Number	:	501-258-7763
Fax Number	:

Provider Business Practice Location Address
First Line	:	1301 SCOTT ST
Second Line	:	SUITE 11
City	:	LITTLE ROCK
State	:	AR
Zip	:	72202-5051
Country	:	US
Telephone Number	:	501-396-9184
Fax Number	:

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

Provider Enumeration Date	:	04/30/2017
Last Update Date	:	04/30/2017

Similar Medicare Providers

1699875401 — BRYANT B ASHLEY JR. O.D.
Practice Location Address:

3418 CAMP ROBINSON RD
NORTH LITTLE ROCK, AR
72118-5051

Practice Phone: 501-758-1015
Practice Fax: 501-758-1554

1942381587 — DR. BRYANT ASHLEY, JR.
Practice Location Address:

3418 CAMP ROBINSON RD
NORTH LITTLE ROCK, AR
72118-5051

Practice Phone: 501-758-1015
Practice Fax: 501-758-1554

1982462735 — HILDER KOMBO
Practice Location Address:

8 JACK NICKLAUS CV
LITTLE ROCK, AR
72210-5051

Practice Phone: 501-352-6253
Practice Fax:

1962457846 — DR. PRAMOD K MOHANTY MD
Practice Location Address:

1250 E MARSHALL ST , 1201 BROAD ROCK BLVD
RICHMOND, VA
23298-5051

Practice Phone: 804-675-5444
Practice Fax: 804-675-5420

1730397472 — DR. ANIT KAUSHIK MANKAD MD
Practice Location Address:

1201 BROAD ROCK BLVD # 111-J
RICHMOND, VA
23249-5051

Practice Phone: 804-675-5419
Practice Fax: 804-675-5420

1548478530 — NICOLE MARIAN RAGLAND MD
Practice Location Address:

1201 BROAD ROCK BLVD
RICHMOND, VA
23249-5051

Practice Phone: 804-675-5000
Practice Fax:

Directions to “ JASON SHIVERS LMT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.