Individual provider · Type 1 NPI
Stephanie Michelle Donelson, LMT
Massage Therapist · The Plains, VA
NPI number
1972191260
Active
Practice location
6484 Main St
The Plains, VA 20198-2255
Mailing address
6179 Camrose Ln
Broad Run, VA 20137-1900
Other practice locations
- 6179 Camrose Ln, Broad Run, VA 20137-1900 · (571) 408-5545
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 0019016407 (VA) |
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.
About NPI 1972191260
Stephanie Michelle Donelson, LMT's National Provider Identifier is 1972191260, issued on Jan 4, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in The Plains, VA. The record was last updated on Jan 4, 2021.