Individual
MS. SHELIA BEA ISAAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
7808 JEWELLA AVE, SUITE D, SHREVEPORT, LA 71108-5000
(318) 294-8274
Mailing address
7808 JEWELLA AVE, SUITE D, SHREVEPORT, LA 71108-5000
(318) 294-8274
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA-5621
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LA-5621
STATE OF LOUISIANA BOARD OF MASSAGE THERAPY
LA
Enumeration date
01/03/2012
Last updated
01/03/2012
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