Stacy Bosanko, LMT

NPI #1003640194 in El Paso, Texas

Provider Information

NPI Number: 1003640194
Entity Type: Individual
Name: Stacy Bosanko, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Aug 29, 2024
Last Updated: Aug 29, 2024

Practice Location

Address: 5941 FIESTA DR
City: El Paso
State: Texas
ZIP Code: 79912-5228
Phone: (915) 841-1869

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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