Individual provider · Type 1 NPI
Stephanie Vicky Gordon, LMT
Massage Therapist · Bartlett, TN
NPI number
1629376835
Active
Practice location
2874 Shelby St, Suite 108
Bartlett, TN 38134-4579
Fax (901) 466-1121
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 8591 (TN) |
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.
Another provider at this address
Other massage therapist providers in Bartlett
About NPI 1629376835
Stephanie Vicky Gordon, LMT's National Provider Identifier is 1629376835, issued on Mar 11, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bartlett, TN. The record was last updated on Mar 11, 2011.