SHEQUITTA WILKES MASSENBURG LRT CTRS NPI 1598346686

NPI Information

  • NPI: 1598346686
  • Provider Name: SHEQUITTA WILKES MASSENBURG, LRT, CTRS
  • Classification: Recreation Therapist - 225800000X
  • Entity Type: Individual
  • Address: 3701 LOOP RD EAST
    REHAB MEDICINE-RECREATION THERAPY
    TUSCALOSSA, AL
    ZIP 35404
  • Phone: (205) 554-2000

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NPI Details

Shequitta Wilkes Massenburg, LRT, CTRS is a recreation therapist in Tuscalossa, AL. The provider is a recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. Shequitta Wilkes Massenburg, LRT, CTRS NPI is 1598346686. 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:

3701 LOOP RD EAST
REHAB MEDICINE-RECREATION THERAPY
TUSCALOSSA, AL
ZIP 35404
Phone: (205) 554-2000

The enumeration date for this NPI number is 4/20/2021 and was last updated on 4/20/2021.

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
1225800000XRecreation Therapist55100NORTH 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: 3/30/2025

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