Individual
SHATEQUA SHANICE CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2572 S TALLASSEE DR, TALLASSEE, AL 36078-5365
(334) 640-1522
Mailing address
2572 S TALLASSEE DR, TALLASSEE, AL 36078-5365
(334) 640-1522
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6190
AL
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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