Jeanie Stockman, LMP

NPI #1871782797 in Walla Walla, Washington

Provider Information

NPI Number: 1871782797
Entity Type: Individual
Name: Jeanie Stockman, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Oct 16, 2007
Last Updated: Oct 16, 2007

Practice Location

Address: 2316 EASTGATE ST
Address 2: SUITE 110
City: Walla Walla
State: Washington
ZIP Code: 99362-2554
Phone: (509) 200-0551

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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