Individual provider · Type 1 NPI

Stacy Bosanko, LMT

Massage Therapist · El Paso, TX

NPI number 1003640194 Active

Practice location

5941 Fiesta Dr
El Paso, TX 79912-5228

Call (915) 841-1869 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT132519 (TX)

Massage Therapist: 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.

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About NPI 1003640194

Stacy Bosanko, LMT's National Provider Identifier is 1003640194, issued on Aug 29, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in El Paso, TX. The record was last updated on Aug 29, 2024.