Provider Demographics
NPI:1629524418
Name:PAIGE, SHEILA ROCHELLE (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:ROCHELLE
Last Name:PAIGE
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1613 W 70TH ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90047-1931
Mailing Address - Country:US
Mailing Address - Phone:323-891-2983
Mailing Address - Fax:
Practice Address - Street 1:1613 W. 70TH ST.
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90047-1931
Practice Address - Country:US
Practice Address - Phone:323-891-2983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-31
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175L00000XOther Service ProvidersHomeopath