Individual
ANNA SHATS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
414 CENTRE ST, NUTLEY, NJ 07110-1712
(917) 660-6985
Mailing address
414 CENTRE ST, NUTLEY, NJ 07110-1712
(917) 660-6985
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01342300
NJ
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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