Individual
STEWART COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
59 OAK TERRACE DR, RUCKERSVILLE, VA 22968-3439
(540) 748-0390
Mailing address
59 OAK TERRACE DR, RUCKERSVILLE, VA 22968-3439
(540) 748-0390
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019016328
VA
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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