Individual
MR. STEPHEN TOD WHITEHURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2001 S MAIN ST, BLACKSBURG, VA 24060-6678
(540) 392-3723
Mailing address
PO BOX 116, SALEM, VA 24153-0116
(540) 392-3723
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019003670
VA
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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