| NPI | 1801302849 |
|---|---|
| Former Name | SHAWNA L. STEWART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 18055) |
| Additional Taxonomies | 305S00000X Point of Service (Licence: OR 18055) |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2020-07-27 |