Individual
SHAKA DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14 S GREELEY AVE, CHAPPAQUA, NY 10514-3311
(347) 348-0072
Mailing address
PO BOX 793, MOUNT KISCO, NY 10549-0793
(845) 661-8439
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023264
NY
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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