Individual provider · Type 1 NPI

Shantia Blackwell

Massage Therapist · Brooklyn, NY

NPI number 1609796275 Active

Practice location

603 Bergen St Fl 1
Brooklyn, NY 11238-3405

Call (646) 648-8877 Map

Mailing address

640 Macdonough St Apt 3B
Brooklyn, NY 11233-1358

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X033898 (NY)

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 1609796275

Shantia Blackwell's National Provider Identifier is 1609796275, issued on Jul 15, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 15, 2026.