Individual
SHAQUANDA SIMONE GEATHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
9711 DAVID TAYLOR DR APT 218, CHARLOTTE, NC 28262-2375
(980) 888-3129
Mailing address
5846 MONROE RD APT E1, CHARLOTTE, NC 28212-6120
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15468
NC
Other
Enumeration date
07/16/2022
Last updated
07/16/2022
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