Individual
STEPHANIE VICKY GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2874 SHELBY ST, SUITE 108, BARTLETT, TN 38134-4579
(901) 451-0663
(901) 466-1121
Mailing address
2874 SHELBY ST, SUITE 108, BARTLETT, TN 38134-4579
(901) 451-0663
(901) 466-1121
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8591
TN
Other
Enumeration date
03/11/2011
Last updated
03/11/2011
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