Individual
SHAWNTA HALSTEAD-PASSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 HYDE PARK, WINDER, GA 30680-4543
(347) 458-9662
Mailing address
120 HYDE PARK, WINDER, GA 30680-4543
(347) 458-9662
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
014878
GA
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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