Tamara St. Theresa Stone LMTBT

NPI 1255636536 - Massage Therapist - 225700000X

NPI Details
NPI 1255636536
Gender Female
Enumeration Date 01/19/2011
Last Updated 01/19/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
952 S PARK AVE
FOND DU LAC WI, 54935-8041, US
Phone (920) 251-8780
Fax
Business Location
1107 COUNTY ROAD V
FOND DU LAC WI, 54935-7205, US
Phone (920) 251-8780
Fax
Toxanomy
Taxonomy Code 225700000X
License State Wisconsin
License Number 10134-146
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According to our database, Mrs. Tamara St. Theresa Stone LMTBT NPI is 1255636536, taxonomy code is 225700000X and license number is 10134-146, license state is located at Wisconsin. Tamara St. Theresa Stone LMTBT physically located at 952 S Park Ave, Fond Du Lac WI, 54935-8041. NPI Number Tamara St. Theresa Stone LMTBT has the Individual type.

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1255636536 NPI number is provided on an as is basis without warranty of any kind. 1255636536 is maintained by the National Plan & Provider Enumeration System. The contents of Tamara St. Theresa Stone LMTBT are for informational purposes only.