Provider Demographics
NPI:1427793868
Name:MAGNA, SHATORA (RYT, CPT)
Entity type:Individual
Prefix:
First Name:SHATORA
Middle Name:
Last Name:MAGNA
Suffix:
Gender:F
Credentials:RYT, CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1696 E 85TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-3754
Mailing Address - Country:US
Mailing Address - Phone:216-802-9800
Mailing Address - Fax:
Practice Address - Street 1:1696 E 85TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-3754
Practice Address - Country:US
Practice Address - Phone:216-802-9800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-30
Last Update Date:2022-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach