MR. Stephen Wade, LMT

NPI #1255939039 in Mountain Brk, Alabama

Provider Information

NPI Number
1255939039
Entity Type
Individual
Name
MR. Stephen Wade, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Oct 13, 2020
Last Updated
Oct 13, 2020

Practice Location

Address
16 OFFICE PARK CIR STE 12C
State
Alabama
ZIP Code
35223-2923
Phone
(205) 792-1967

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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