Individual
STEPHANIE TEITSORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT/LMT
Contact information
Practice address
1019 ORIOLE DR, PORT HUENEME, CA 93041-4211
(843) 597-9003
Mailing address
1019 ORIOLE DR, PORT HUENEME, CA 93041-4211
(843) 597-9003
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
94624
CA
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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