Individual
AUSTYN PERRY SHIRLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
1281 EAST AVE STE 100, CHICO, CA 95926-1023
(530) 786-5484
Mailing address
328 W 4TH AVE APT 8, CHICO, CA 95926-3253
(530) 786-5484
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
62258
CA
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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