Individual
STEPHANY ANN PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 SCENIC DR, GEORGETOWN, TX 78626-7705
(000) 000-0000
Mailing address
PO BOX 12108, AUSTIN, TX 78711-2108
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
06/29/2022
Last updated
08/01/2022
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