Individual provider · Type 1 NPI

Shiwan Danae Haynes

Massage Therapist · Charlotte, NC

NPI number 1972121655 Active

Practice location

2424 N Davidson St Ste 110D
Charlotte, NC 28205-1882

Call (704) 412-1602 Map

Mailing address

2424 N Davidson St Ste 110
Charlotte, NC 28205-1882

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone listed

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 1972121655

Shiwan Danae Haynes's National Provider Identifier is 1972121655, issued on Jul 9, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Charlotte, NC. The record was last updated on Aug 31, 2020.