SUSAN SHIVELY

FORT WAYNE, IN
NPI1871126995
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225700000X Massage Therapist
(Licence: IN  MT21907005)
Enumeration Date2020-02-17
Last Update Date2020-02-17
Business Address
SUSAN SHIVELY LMT
4606 W JEFFERSON BLVD
FORT WAYNE, IN 46804-6826
Phone number: 260-459-1111
Mailing Address
SUSAN SHIVELY LMT
4606 W JEFFERSON BLVD
FORT WAYNE, IN 46804-6826
Phone number: 260-459-1111
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