Individual
MR. STEPHEN WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
16 OFFICE PARK CIR STE 12C, MOUNTAIN BRK, AL 35223-2923
(205) 792-1967
Mailing address
1301 27TH PL S APT 5, BIRMINGHAM, AL 35205-2542
(205) 792-1967
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2390
AL
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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