SHANTREASE PERDOMO LMBT NPI 1477379469

NPI Information

  • NPI: 1477379469
  • Provider Name: SHANTREASE PERDOMO, LMBT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 1212 CULVER SPRING WAY
    CHARLOTTE, NC
    ZIP 28215
  • Phone: (980) 206-0029

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NPI Details

Shantrease Perdomo, LMBT is a massage therapist in Charlotte, NC. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Shantrease Perdomo, LMBT NPI is 1477379469. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1212 CULVER SPRING WAY
CHARLOTTE, NC
ZIP 28215-021
Phone: (980) 206-0029

The enumeration date for this NPI number is 11/25/2024 and was last updated on 1/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage Therapist21948NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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