Individual
SAMANTHA MAE STILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
10 TOWN SQUARE ST, SUITE 2, GREENWOOD, AR 72936
(479) 420-8785
Mailing address
7103 RACE TRACK LOOP, FORT SMITH, AR 72916-9241
(479) 420-8785
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9083
AR
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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