Doctor Name: | JANELLE E STEWART |
NPI Number: | 1689099632 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT, PTA |
License Number: | MSG001919 |
Business Practice Address: | 713 W 4th St Lewistown, PA - 170441984 |
Business Phone Number: | 7179941276 |
Business Fax Number: | |
Mailing Address: | 436 S Grand St, LEWISTOWN |
State: | PA |
Postal Code: | 170442311 |
Phone Number: | 7179941276 |
Fax Number: | |
NPI Enumeration Date: | 02/27/2014 |
NPI Last Update Date: | 02/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MSG001919 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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. |