Stephanie Gray, L.M.T., C.L.T.

NPI #1619330370 in Ithaca, New York

Provider Information

NPI Number: 1619330370
Entity Type: Individual
Name: Stephanie Gray, L.M.T., C.L.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: L.M.T., C.L.T.
Enumeration Date: Mar 31, 2016
Last Updated: Mar 31, 2016

Practice Location

Address: 107 OAKWOOD LN
City: Ithaca
State: New York
ZIP Code: 14850-2041
Phone: (607) 351-6840

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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