SHAWNA MARIE PONTIOUS

FORT WAYNE, IN
NPI1326701772
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: IN  MT21405160)
Enumeration Date2021-10-21
Last Update Date2021-10-21
Business Address
Mrs. SHAWNA MARIE PONTIOUS
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
Mailing Address
Mrs. SHAWNA MARIE PONTIOUS
6310 STONY BROOK DR
FORT WAYNE, IN 46835-2326
Phone number: 260-745-6273