Individual provider · Type 1 NPI

Miesha Shineaquah Frederick

Massage Therapist · Charlotte, NC

NPI number 1497617831 Active

Practice location

2643 Clydesdale Ter
Charlotte, NC 28208-4133

Call (704) 724-9394 Map

Specialties and licenses

TaxonomyCodeLicense
Nurse's Aide 376K00000X570855 (NC)
Massage Therapist Primary 225700000X10674 (SC)

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 1497617831

Miesha Shineaquah Frederick's National Provider Identifier is 1497617831, issued on Nov 24, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Charlotte, NC. The record was last updated on Nov 25, 2025.