Individual provider · Type 1 NPI
Mindy Lu Ivie
Massage Therapist · Blooming Glen, PA
NPI number
1013373273
Active
Practice location
1282 Rt 113
Blooming Glen, PA 18911
Mailing address
1282 Rt 113 #126
Blooming Glen, PA 18911
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MSG007317 (PA) |
Massage Therapist: 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.
About NPI 1013373273
Mindy Lu Ivie's National Provider Identifier is 1013373273, issued on Jan 4, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Blooming Glen, PA. The record was last updated on Jan 4, 2016.