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Individual

SHAKIA CHANEL THE PADGETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2727 WICKLOW DR, AUGUSTA, GA 30909-3645
(678) 913-3958
Mailing address
2727 WICKLOW DR, AUGUSTA, GA 30909-3645
(678) 913-3958

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT008319
GA

Other

Enumeration date
02/13/2026
Last updated
02/13/2026
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