Individual provider · Type 1 NPI

Stephanie Roark, L.M.T.

Massage Therapist · Fort Myers, FL

NPI number 1578881397 Active

Practice location

6710 Winkler Rd Ste 2
Fort Myers, FL 33919-7274

Call (239) 405-3670 Map

Mailing address

5602 Kensington Loop
Fort Myers, FL 33912-2045

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA52089 (FL)

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 1578881397

Stephanie Roark, L.M.T.'s National Provider Identifier is 1578881397, issued on May 5, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fort Myers, FL. The record was last updated on May 5, 2010.