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Shaniquea Davis

Massage Therapist in New York, NY. Individual provider (NPI-1).

NPI number1831761832
StatusActive
Last updated in NPPESNov 16, 2021

Details

NPI
1831761832
Entity type
Individual (NPI-1)
Name
Shaniquea Davis
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 11, 2021
Certification date
Nov 16, 2021
Last updated
Nov 16, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMA89229FLYes

Practice location

45 W 45th St
New York, NY 10036-4602

Phone 877-438-9335

Mailing address

45 W 45th St
New York, NY 10036-4602

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