Individual provider · Type 1 NPI
Stepan Staffen, LMT
Massage Therapist · Montclair, NJ
NPI number
1497043996
Active
Practice location
25 N Fullerton Ave
Montclair, NJ 07042-3435
Mailing address
47 Union St Apt 403
Montclair, NJ 07042-3360
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 26BT00249400 (NJ) |
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 1497043996
Stepan Staffen, LMT's National Provider Identifier is 1497043996, issued on Jul 18, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Montclair, NJ. The record was last updated on Jul 18, 2011.