Most Relevant Information
Provider Data
| NPI Number: | 1003695115 |
| Provider Name: | STEPHANIE ROSE PIERDINOCK LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MA91336 |
Most Important Dates
| Enumeration Date: | 09/27/2023 |
| Last Updated: | 09/27/2023 |
Provider Practice Location
319 5TH AVE SW
JASPER
FL
320526003
Practice Location Phone/Fax
| Phone: | 9044606681 |
| Fax: |
Provider Mailing Location
319 5TH AVE SW
JASPER
FL
320526003
Provider Mailing Phone/Fax
| Phone: | 9044606681 |
| Fax: |