Individual provider · Type 1 NPI

Shivonne Marie Wylie

Massage Therapist · Vancouver, WA

NPI number 1972872927 Active

Practice location

1515 Broadway St
Vancouver, WA 98663-3433

Call (360) 470-4856 Map

Mailing address

1417 NE 130th St
Vancouver, WA 98685-3163

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60229724 (WA)

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 1972872927

Shivonne Marie Wylie's National Provider Identifier is 1972872927, issued on Dec 20, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Vancouver, WA. The record was last updated on Jan 11, 2012.