Individual
MR. SHANE R STOETZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1401 S ARCH AVE, ALLIANCE, OH 44601-4202
(330) 238-3105
Mailing address
1401 S ARCH AVE, ALLIANCE, OH 44601-4202
(330) 238-3105
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
020922
OH
Other
Enumeration date
02/27/2015
Last updated
02/27/2015
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