Stephan Ray

NPI #1396108114 in Ridgefield, Washington

Provider Information

NPI Number: 1396108114
Entity Type: Individual
Name: Stephan Ray
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Mar 30, 2016
Last Updated: Mar 30, 2016

Practice Location

Address: 915 S HIGHLAND ST
City: Ridgefield
State: Washington
ZIP Code: 98642-9343
Phone: (360) 947-4890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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