| NPI | 1225521818 |
|---|---|
| Former Name | SHAWNDA RAE STURGILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 23958) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: ID Mas-2564) |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2018-06-08 |