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MINDY LU IVIE

>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1013373273

Individual Registrant:
 MINDY LU IVIE 
Gender: F
Sole Proprietor

Location and contact information for practice:
1282 RT 113  BLOOMING GLEN, PA 18911 US
Tel: 267-424-3240  Fax: --

Contact information for business:
1282 RT 113 #126  BLOOMING GLEN, PA 18911 US
Tel: 267-424-3240  Fax: --

Registration Information:
NPI: 1013373273
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
PAMSG007317

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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