NPI 1013373273

Mindy Lu Ivie

Practitioner Massage Therapist Blooming Glen, PA

Practice location

Address: 1282 Rt 113, Blooming Glen, PA 18911
Phone: (267) 424-3240
Mailing address: 1282 Rt 113 #126, Blooming Glen, PA 18911

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MSG007317 (PA)

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Registry record

NPI: 1013373273
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Jan 2016
Record last updated: 4 Jan 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.