Doctor Name: | ANGELA G STILWELL |
NPI Number: | 1972634061 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.T. |
License Number: | 6248 |
Business Practice Address: | 1606 Ne 223rd Ave Fairview, OR - 970242662 |
Business Phone Number: | 5033149162 |
Business Fax Number: | 5034928560 |
Mailing Address: | 39 Ne Kelly Ave, GRESHAM |
State: | OR |
Postal Code: | 970307539 |
Phone Number: | 5033149162 |
Fax Number: | 5034928560 |
NPI Enumeration Date: | 03/08/2007 |
NPI Last Update Date: | 06/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 6248 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
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. |