Individual
STEPHANIE N SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
513 RUTHLYNN DR, LONGVIEW, TX 75605-3725
(903) 452-7104
Mailing address
513 RUTHLYNN DR, LONGVIEW, TX 75605-3725
(903) 452-7104
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT112301
TX
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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