Individual
STEPHANIE TASULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
400 INTERNATIONAL DR, WILLIAMSVILLE, NY 14221-5771
(716) 631-1516
(716) 204-2998
Mailing address
400 INTERNATIONAL DR, WILLIAMSVILLE, NY 14221-5771
(716) 631-1516
(716) 204-2998
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
027743
NY
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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