Individual
IAISHA SHANICE ANTOINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8734 E 48TH AVE APT 301, DENVER, CO 80238-3648
(720) 410-3015
Mailing address
8734 E 48TH AVE APT 301, DENVER, CO 80238-3648
(720) 410-3015
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0026272
CO
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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