Individual
SHAUNACEY VALDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
113 DAVID ST, GULFPORT, MS 39503-3411
(769) 926-0621
Mailing address
113 DAVID ST, GULFPORT, MS 39503-3411
(769) 926-0621
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3754
MS
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
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