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Individual

MEGHAN SLIVKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
706 RIDGE RD, MUNSTER, IN 46321-1612
(219) 836-8890
(219) 836-2344
Mailing address
706 RIDGE RD, MUNSTER, IN 46321-1612
(219) 836-8890
(219) 836-2344

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT20901093
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MT20901093
LICENSE NUMBER
IN
Enumeration date
06/26/2014
Last updated
06/26/2014
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