Individual
MRS. LEAH YVONNE SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
11800 SINGLETREE LN STE 205, EDEN PRAIRIE, MN 55344-5397
(952) 949-0676
(952) 949-0868
Mailing address
9242 CREEK WAY, SAVAGE, MN 55378-1194
(952) 949-0676
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
—
—
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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