Individual
SIERRA SILVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3442 STELLHORN RD, FORT WAYNE, IN 46815-4630
(260) 704-2323
Mailing address
3442 STELLHORN RD, FORT WAYNE, IN 46815-4630
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT22308126
IN
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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