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Keaundria Shaquille Broomfield, MT
Massage Therapist in Statesboro, Georgia
NPI 1215548391

Keaundria Shaquille Broomfield is a Massage Therapist based in Statesboro, GA. Keaundria Shaquille Broomfield practices in Statesboro, GA and has the professional credentials of MT. The NPI Number for Keaundria Shaquille Broomfield is 1215548391 and holds a License No. MT012945 (Georgia).

The current practice location address for Keaundria Shaquille Broomfield is 116 Savannah Ave, Statesboro, GA and can be reached out via phone at 912-243-9200 and via fax at 912-243-9207.

Location: 116 Savannah Ave, Statesboro, GA, 30458-4801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215548391
Provider Name
Keaundria Shaquille Broomfield
Credential
MT
Provider Entity Type
Individual
Gender
Female
Address
116 Savannah Ave, Statesboro, GA, 30458-4801
Phone Number
912-243-9200
Fax Number
912-243-9207
Provider Enumeration Date
08/12/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
116 Savannah Ave
City
Statesboro
State
Georgia
Zip
30458-4801
Phone Number
912-243-9200
Fax Number
912-243-9207
person
Provider Business Mailing Address Details
Address
116 Savannah Ave
City
Statesboro
State
Georgia
Zip
30458-4801
Phone Number
912-243-9200
Fax Number
912-243-9207
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT012945 (Georgia)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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