Individual
MR. SHAUN STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4625 PIEDMONT ROW DR, CHARLOTTE, NC 28210-4285
(704) 552-1662
Mailing address
2936 WINDSOR MEADOW LN, MATTHEWS, NC 28105-4113
(347) 339-9602
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032707
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1725667
AMTA
NY
Enumeration date
02/25/2022
Last updated
02/25/2022
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