Individual provider · Type 1 NPI

Keaundria Shaquille Broomfield, MT

Massage Therapist · Statesboro, GA

NPI number 1215548391 Active

Practice location

116 Savannah Ave
Statesboro, GA 30458-4801

Call (912) 243-9200 Map

Fax (912) 243-9207

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT012945 (GA)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1215548391

Keaundria Shaquille Broomfield, MT's National Provider Identifier is 1215548391, issued on Aug 12, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Statesboro, GA. The record was last updated on Aug 12, 2020.