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Individual

ANASTASIA STIGALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC/L, LMT

Contact information

Practice address
18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 79906-5327
(999) 999-9999
Mailing address
2651 ENTERPRISE AVE, MEMPHIS, TN 38114-3228

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2868
TN
2255A2300X
Athletic Trainer
ID
225700000X
Massage Therapist
2106
MS
225700000X
Massage Therapist
3616
ID

Other

Enumeration date
10/17/2018
Last updated
02/02/2023
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