Individual
STEPHEN R IBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
10855 N 116TH ST, STE 130, SCOTTSDALE, AZ 85259-4187
(480) 661-2991
(480) 661-2970
Mailing address
10855 N 116TH ST, STE 130, SCOTTSDALE, AZ 85259-4187
(480) 661-2991
(480) 661-2970
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT08100
AZ
Other
Enumeration date
12/26/2009
Last updated
12/26/2009
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