NPI 1093630402 · live from the CMS NPI Registry
Shajarria Butcher, LMT
Massage Therapist in Bastrop, LA. National Provider Identifier 1093630402, active.
NPI record
| NPI | 1093630402 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 1680 Leanne Loop, Bastrop, LA 71220 |
| Practice phone | 318-515-5905 |
| Enumerated | August 13, 2026 |
| Last updated | August 13, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | La10063 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.