Individual provider · Type 1 NPI

Shawna Marie Pontious

Massage Therapist · Fort Wayne, IN

NPI number 1326701772 Active

Practice location

2121 Lake Ave
Fort Wayne, IN 46805-5100

Mailing address

6310 Stony Brook Dr
Fort Wayne, IN 46835-2326

Other practice locations

  • 6319 Mutual Dr Ste E, Fort Wayne, IN 46825-4246 · (260) 745-6273

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT21405160 (IN)

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.

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About NPI 1326701772

Shawna Marie Pontious's National Provider Identifier is 1326701772, issued on Oct 21, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 21, 2021.