Provider Demographics
NPI:1588824932
Name:STONE, BRIANNA JOY (LMP)
Entity Type:Individual
Prefix:MRS
First Name:BRIANNA
Middle Name:JOY
Last Name:STONE
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2131 N WOODLAND ST
Mailing Address - Street 2:
Mailing Address - City:STEPHENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76401-2051
Mailing Address - Country:US
Mailing Address - Phone:253-312-2199
Mailing Address - Fax:
Practice Address - Street 1:1359 W SOUTH LOOP STE A
Practice Address - Street 2:
Practice Address - City:STEPHENVILLE
Practice Address - State:TX
Practice Address - Zip Code:76401-5172
Practice Address - Country:US
Practice Address - Phone:253-312-2199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-10
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60014570225700000X
TXMT136418225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist