Doctor Name: | ROSLYN STEPHENS |
NPI Number: | 1316231335 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | MT 007477 |
Business Practice Address: | 580 Blue Ridge Dr Evans, GA - 308093604 |
Business Phone Number: | 7063648501 |
Business Fax Number: | 7063648503 |
Mailing Address: | 3806 Winchester Ct, AUGUSTA |
State: | GA |
Postal Code: | 309068018 |
Phone Number: | 7065334227 |
Fax Number: | |
NPI Enumeration Date: | 06/07/2011 |
NPI Last Update Date: | 06/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MT 007477 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |