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Ms. Shivonne Marie Wylie
Massage Therapist in Vancouver, Washington
NPI 1972872927

Shivonne Marie Wylie is a Massage Therapist based in Vancouver, WA. Shivonne Marie Wylie practices in Vancouver, WA. The NPI Number for Shivonne Marie Wylie is 1972872927 and holds a License No. MA60229724 (Washington).

The current practice location address for Shivonne Marie Wylie is 1515 Broadway St, Vancouver, WA and can be reached out via phone at 360-470-4856.

Location: 1515 Broadway St, Vancouver, WA, 98685-3163
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972872927
Provider Name
Shivonne Marie Wylie
Credential
Provider Entity Type
Individual
Gender
Female
Address
1515 Broadway St, Vancouver, WA, 98685-3163
Phone Number
360-470-4856
Fax Number
Provider Enumeration Date
12/20/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1515 Broadway St
City
Vancouver
State
Washington
Zip
98663-3433
Phone Number
360-470-4856
Fax Number
person
Provider Business Mailing Address Details
Address
1515 Broadway St
City
Vancouver
State
Washington
Zip
98663-3433
Phone Number
360-470-4856
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA60229724 (Washington)
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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