NPI 1083019939

Mary Stock, LMT

Practitioner Contractor Ankeny, IA

Practice location

Address: 2701 SE Convenience Blvd Suite 3, Ankeny, IA 50021-9432
Phone: (515) 554-2140
Fax: (515) 635-0009

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 067464 (IA)

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Registry record

NPI: 1083019939
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Nov 2014
Record last updated: 4 Nov 2014

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.