Doctor Name: | DR. STEPHAN CONLEY |
NPI Number: | 1760838130 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C., LMT, |
License Number: | MT15303 |
Business Practice Address: | 1502 E Belt Line Rd Carrollton, TX - 750066307 |
Business Phone Number: | 4792855803 |
Business Fax Number: | |
Mailing Address: | Po Box 261, COPPELL |
State: | TX |
Postal Code: | 750190261 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/04/2016 |
NPI Last Update Date: | 05/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MT15303 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
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. |