Provider Demographics
NPI:1265586770
Name:ARMSTRONG, STEPHANIE MARIA (LMT)
Entity type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:MARIA
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:MARIA
Other - Last Name:MASSIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:P.O. BOX 73877
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98373
Mailing Address - Country:US
Mailing Address - Phone:253-273-3902
Mailing Address - Fax:253-539-1471
Practice Address - Street 1:10324 CANYON RD. E
Practice Address - Street 2:SUITE 105
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98373
Practice Address - Country:US
Practice Address - Phone:253-537-6000
Practice Address - Fax:253-539-1471
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00011939225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist