Most Relevant Information
Provider Data
| NPI Number: | 1003233800 |
| Provider Name: | IZUMI STEPHENS LMP |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MA00021979 |
Most Important Dates
| Enumeration Date: | 03/19/2014 |
| Last Updated: | 03/19/2014 |
Provider Practice Location
14924 SUNRISE DR NE
BAINBRIDGE ISLAND
WA
981101113
Practice Location Phone/Fax
| Phone: | 2068550750 |
| Fax: |
Provider Mailing Location
14924 SUNRISE DR NE
BAINBRIDGE ISLAND
WA
981101113
Provider Mailing Phone/Fax
| Phone: | 2068550750 |
| Fax: |