Individual
BEVERLY M STASIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
3444 EAST LAKE RD, SUITE 412, PALM HARBOR, FL 34684
(727) 492-0970
(727) 286-6204
Mailing address
3444 EAST LAKE RD, SUITE 412, PALM HARBOR, FL 34684
(727) 492-0970
(727) 286-6204
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA57967
FL
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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