Individual
SHELLY NENTWIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3303 S LINDSAY RD STE 119A, GILBERT, AZ 85297-2100
(480) 382-1366
Mailing address
3303 S LINDSAY RD STE 119A, GILBERT, AZ 85297-2100
(480) 382-1366
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-23102
AZ
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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