person
Mrs. Shawna Marie Pontious
Massage Therapist in Fort Wayne, Indiana
NPI 1326701772

Shawna Marie Pontious is a Massage Therapist based in Fort Wayne, IN. Shawna Marie Pontious practices in Fort Wayne, IN. The NPI Number for Shawna Marie Pontious is 1326701772 and holds a License No. MT21405160 (Indiana).

The current practice location address for Shawna Marie Pontious is 2121 Lake Ave, Fort Wayne, IN and can be reached out via phone at 260-426-5431.

Location: 2121 Lake Ave, Fort Wayne, IN, 46835-2326
person
Provider Profile Details
NPI Number
1326701772
Provider Name
Shawna Marie Pontious
Credential
Provider Entity Type
Individual
Gender
Female
Address
2121 Lake Ave, Fort Wayne, IN, 46835-2326
Phone Number
260-426-5431
Fax Number
Provider Enumeration Date
10/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2121 Lake Ave
City
State
Zip
46805-5100
Phone Number
260-426-5431
Fax Number
person
Provider Business Mailing Address Details
Address
2121 Lake Ave
City
State
Zip
46805-5100
Phone Number
260-426-5431
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MT21405160 (Indiana)
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.
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