Mindy Lu Ivie
Massage Therapist
1282 Rt 113
Blooming Glen
, Pennsylvania 18911
Mindy Lu Ivie
Massage Therapist
1282 Rt 113
Blooming Glen
, Pennsylvania 18911
(267) 424-3240
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Mindy Lu Ivie
- 1282 Rt 113 #126
- Blooming Glen, PA
- Zip : 18911
- Phone : (267) 424-3240
Second Address
- Mindy Lu Ivie
- 1282 Rt 113
- Blooming Glen, PA
- Zip : 18911
- Phone : (267) 424-3240
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MSG007317 | PA |
National Provider Identifier
| NPI | 1013373273 |
|---|---|
| Provider Name | Mindy Lu Ivie |
| First Address | Blooming Glen, PA 18911 |
| Second Address | Blooming Glen, PA 18911 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/01/2016 |
| Last Update Date | 04/01/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.