Individual
STELLA SAENZ IBARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
101 SUMMIT AVE, SUITE 114, FORT WORTH, TX 76102-2618
(817) 870-1340
Mailing address
101 SUMMIT AVE, SUITE 114, FORT WORTH, TX 76102-2618
(817) 870-1340
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT035736
TX
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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