Stephanie Ann Fountain

NPI #1952911489 in Casper, Wyoming

Provider Information

NPI Number: 1952911489
Entity Type: Individual
Name: Stephanie Ann Fountain
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Enumeration Date: Aug 10, 2020
Last Updated: Aug 10, 2020

Practice Location

Address: 254 N CENTER ST
City: Casper
State: Wyoming
ZIP Code: 82601-1927
Phone: (307) 267-1703

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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