Individual provider · Type 1 NPI
Stephen R. Ibach, L.M.T.
Massage Therapist · Scottsdale, AZ
NPI number
1013247956
Active
Practice location
10855 N 116th St, Ste 130
Scottsdale, AZ 85259-4187
Fax (480) 661-2970
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT08100 (AZ) |
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 1013247956
Stephen R. Ibach, L.M.T.'s National Provider Identifier is 1013247956, issued on Dec 26, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Scottsdale, AZ. The record was last updated on Dec 26, 2009.