Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEAUNDRIA SHAQUILLE BROOMFIELD, MT
Active Sole ProprietorKEAUNDRIA SHAQUILLE BROOMFIELD, MT is a Massage Therapist healthcare provider located in STATESBORO, Georgia. NPI 1215548391 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · STATESBORO, GA
Registration Details
- NPI Number
- 1215548391
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 12, 2020 (5.9611507206653 yrs)
- Last Updated
- Aug 12, 2020
- License
-
MT012945 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
116 SAVANNAH AVESTATESBORO, GA, 304584801Browse GA providers · Browse ZIP 30458
- Phone
- 9122439200
- Fax
- 9122439207
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in STATESBORO, GA
| Name | Credential | NPI |
|---|---|---|
| MRS. LAURA C NEWTON | MT | 1093935793 |
| MRS. KARLA K. SWARTZ | LMT | 1912198458 |
| DEBORAH KAY STALCUP | LMT | 1841471794 |
| DONALD DEVINE | LMT | 1457829020 |
| MRS. MARTHA T BAYNON | MT | 1548871742 |
| MS. EMILY A ANDRYCHOWSKI | MT | 1669083960 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.