Individual
SHYRA COBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5471 GEORGETOWN RD STE B, INDIANAPOLIS, IN 46254-5794
(317) 657-2387
Mailing address
5944 GATEWAY DR, INDIANAPOLIS, IN 46254-2809
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
11/17/2019
Last updated
11/17/2019
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