Individual
SAMANTHA STONEBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, LMT
Contact information
Practice address
3625 MENCHACA RD STE 202, AUSTIN, TX 78704-5912
(541) 815-2028
Mailing address
130 SHAGBARK TRL, BASTROP, TX 78602-2271
(541) 815-2028
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC02245
TX
225700000X
Massage Therapist
MT135316
TX
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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