Individual
STEVEN SLAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4000 MARQUETTE RD, LAKE STATION, IN 46405-1234
(219) 902-4260
Mailing address
4000 MARQUETTE RD, LAKE STATION, IN 46405-1234
(219) 902-4260
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227022680
IL
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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