Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Shivonne Marie Wylie

Individual provider Massage Therapist · NPI 1972872927

MS. Shivonne Marie Wylie is a Massage Therapist in Vancouver, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2011

Practice location Address checks out

1515 Broadway St
Vancouver, WA 98663-3433
Phone: (360) 470-4856
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MA60229724 (WA)

Record details

NPI number1972872927
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 20, 2011
Last updated in NPPESJanuary 11, 2012

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