Individual
LOUISE ELAINE SPIVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
192A WIKIUP DR, SANTA ROSA, CA 95403-7757
(707) 542-6989
(707) 542-6989
Mailing address
192A WIKIUP DR, SANTA ROSA, CA 95403-7757
(707) 542-6989
(707) 542-6989
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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