Stephen R Ibach, L.M.T.

NPI #1013247956 in Scottsdale, Arizona

Provider Information

NPI Number: 1013247956
Entity Type: Individual
Name: Stephen R Ibach, L.M.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: L.M.T.
Enumeration Date: Dec 26, 2009
Last Updated: Dec 26, 2009

Practice Location

Address: 10855 N 116TH ST
Address 2: STE 130
City: Scottsdale
State: Arizona
ZIP Code: 85259-4187
Phone: (480) 661-2991

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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