Individual
TAMI RUTH STOECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
522 WASHINGTON ST, SHELBYVILLE, KY 40065-1130
(502) 295-0631
Mailing address
PO BOX 16936, LOUISVILLE, KY 40256-0936
(502) 295-0631
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0674
KY
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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