Stacey V Wimberley, BS, LMT

NPI #1760750400 in Bend, Oregon

Provider Information

NPI Number: 1760750400
Entity Type: Individual
Name: Stacey V Wimberley, BS, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: BS, LMT
Enumeration Date: Dec 8, 2011
Last Updated: Jan 27, 2014

Practice Location

Address: 365 NE KEARNEY AVE
City: Bend
State: Oregon
ZIP Code: 97701-4573
Phone: (541) 948-4823

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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