Individual provider · Type 1 NPI

Quantanique Shante Williams Moore, LMT, CHD

Massage Therapist · Colorado Springs, CO

NPI number 1891567491 Active

Practice location

1155 Kachina Dr
Colorado Springs, CO 80915-3025

Call (562) 810-9195 Map

Specialties and licenses

TaxonomyCodeLicense
Doula 374J00000XNone listed
Massage Therapist Primary 225700000XMT.0024894 (CO)

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 1891567491

Quantanique Shante Williams Moore, LMT, CHD's National Provider Identifier is 1891567491, issued on Oct 26, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Colorado Springs, CO. The record was last updated on Dec 3, 2024.