Organization
LUMINANCE MYOFASCIAL RELEASE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEFANIE KRAX (LICENSED MASSAGE THERAPIST (LMT))
(857) 707-7819
Entity
Organization
Contact information
Practice address
26 BRIGHTON ST STE 300, BELMONT, MA 02478-4043
(857) 707-7819
Mailing address
26 BRIGHTON ST STE 300, BELMONT, MA 02478-4043
(857) 707-7819
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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