Mrs Tamara St Theresa Stone, LMTBT | |
952 S Park Ave, Fond Du Lac, WI 54935-8041 | |
(920) 251-8780 | |
Not Available |
Full Name | Mrs Tamara St Theresa Stone |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 952 S Park Ave, Fond Du Lac, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255636536 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 10134-146 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Tamara St Theresa Stone, LMTBT 1107 County Road V, Fond Du Lac, WI 54935-7205 Ph: (920) 251-8780 | Mrs Tamara St Theresa Stone, LMTBT 952 S Park Ave, Fond Du Lac, WI 54935-8041 Ph: (920) 251-8780 |
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