| NPI | 1215523519 |
|---|---|
| Doing Business As | SHAWNTE PETERSON |
| Entity Type | Organization |
| Authorized Contact | SHAWNTE LATRYCE PETERSON Owner 757-529-1647 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 174H00000X Health Educator |
| 173C00000X Reflexologist | |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2023-04-10 |