NPI 1013247956

Stephen R Ibach, LMT

Practitioner Massage Therapist Scottsdale, AZ

Practice location

Address: 10855 N 116th St STE 130, Scottsdale, AZ 85259-4187
Phone: (480) 661-2991
Fax: (480) 661-2970

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT08100 (AZ)

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Registry record

NPI: 1013247956
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Dec 2009
Record last updated: 26 Dec 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.