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MS. SHIVONNE MARIE WYLIE
NPI 1972872927
Massage Therapist in Vancouver, WA

Active since December 20, 2011
1515 BROADWAY ST, VANCOUVER, WA 98663(360) 470-4856 Get Directions Write a Review

NPPES record last updated: January 11, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Shivonne Marie Wylie NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SHIVONNE MARIE WYLIE (NPI 1972872927) is an individual massage therapist in Vancouver, Washington, licensed in Washington (MA60229724) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1972872927
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMS. SHIVONNE MARIE WYLIE
Location Address1515 BROADWAY STVancouver, WA 98663-3433
Mailing Address1417 Ne 130th StVancouver, WA 98685-3163
Phone(360) 470-4856
Sole ProprietorYes
Enumeration DateDecember 20, 2011
Last NPPES UpdateJanuary 11, 2012
✔ NPI 1972872927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in WA · MA60229724
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
1515 BROADWAY ST, Vancouver, WA 98663
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTHWEST CD PROFESSIONALS INC.
Community/Behavioral Health
1515 BROADWAY ST
VANCOUVER, WA 98663
Clark County (360) 737-1994
ANN BRITTAIN-LINENKO CDP, NCACII, CRC
Counselor (Addiction (Substance Use Disorder))
1515 BROADWAY ST
VANCOUVER, WA 98663
Clark County (360) 737-1994

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shivonne Wylie's NPI number?

The NPI number for Shivonne Wylie is 1972872927. It was assigned to this individual provider in the NPPES registry on December 20, 2011.

Where is Shivonne Wylie located?

Shivonne Wylie practices at 1515 Broadway St, Vancouver, WA 98663. The listed phone number is (360) 470-4856.

What is Shivonne Wylie's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

What insurance does Shivonne Wylie accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Shivonne Wylie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shivonne Wylie was last updated on January 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.