Individual
SHAQUILA STOUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6425 PADDINGTON WAY, ANTIOCH, TN 37013-1150
(615) 692-4675
Mailing address
6425 PADDINGTON WAY, ANTIOCH, TN 37013-1150
(615) 692-4675
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13532
TN
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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