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KEAUNDRIA SHAQUILLE BROOMFIELD MT
NPI 1215548391
Massage Therapist in Statesboro, GA

Active since August 12, 2020
116 SAVANNAH AVE, STATESBORO, GA 30458(912) 243-9200(912) 243-9207 Get Directions Write a Review

NPPES record last updated: August 12, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Keaundria Shaquille Broomfield Mt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEAUNDRIA SHAQUILLE BROOMFIELD MT (NPI 1215548391) is an individual massage therapist in Statesboro, Georgia, licensed in Georgia (MT012945) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1215548391
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameKEAUNDRIA SHAQUILLE BROOMFIELDCredential: MT
Location Address116 SAVANNAH AVEStatesboro, GA 30458-4801
Mailing Address116 Savannah AveStatesboro, GA 30458-4801 · (912) 243-9200 · Fax (912) 243-9207
Phone(912) 243-9200
Fax(912) 243-9207
Sole ProprietorYes
Enumeration DateAugust 12, 2020
NPPES CertifiedAugust 12, 2020
✔ NPI 1215548391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in GA · MT012945
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.

116 SAVANNAH AVE, Statesboro, GA 30458
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA KATE DUKQUITS
Dietitian, Registered (Nutrition, Metabolic)
116 SAVANNAH AVE
STATESBORO, GA 30458
Bulloch County (912) 243-9200
DR. NOAH THOMAS KILDAY DC
Chiropractor
116 SAVANNAH AVE
STATESBORO, GA 30458
Bulloch County (912) 243-9200
DR. TAYLOR LEE SPARKS DC, ATC
Chiropractor
116 SAVANNAH AVE
STATESBORO, GA 30458
Bulloch County (607) 382-7345
DR. FLORANNE CRUZ DC
Chiropractor
116 SAVANNAH AVE
STATESBORO, GA 30458
Bulloch County (912) 243-9200
FLORANNE CRUZ. LLC
Chiropractor
116 SAVANNAH AVE
STATESBORO, GA 30458
Bulloch County (912) 243-9200
JULIA RENAUD DC
Chiropractor
116 SAVANNAH AVE
STATESBORO, GA 30458
Bulloch County (912) 243-9200
LACI A LEE MT
Massage Therapist
116 SAVANNAH AVE
STATESBORO, GA 30458
Bulloch County (912) 243-9200
MRS. MARTHA T BAYNON MT
Massage Therapist
116 SAVANNAH AVE
STATESBORO, GA 30458
Bulloch County (912) 243-9200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keaundria Broomfield's NPI number?

The NPI number for Keaundria Broomfield is 1215548391. It was assigned to this individual provider in the NPPES registry on August 12, 2020.

Where is Keaundria Broomfield located?

Keaundria Broomfield practices at 116 Savannah Ave, Statesboro, GA 30458. The listed phone number is (912) 243-9200.

What is Keaundria Broomfield's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Keaundria Broomfield was last updated on August 12, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.