National Provider Identifier

Angelina Rae Stillions, LMT

Angelina Rae Stillions, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Ithaca, NY and a listed phone number of (607) 288-2205.

NPI 1205670874Ithaca, NYMassage Therapist

Profile Overview

NPI
1205670874
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
June 19, 2024
Last Updated
June 19, 2024

Practice Location

  • 1212 Trumansburg RD
  • Ithaca, NY 14850-1314

Phone: (607) 288-2205

Mailing Address

  • 7758 State Route 89
  • Interlaken, NY 14847-9642

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1205670874
Entity Type
Individual
Last Name
Stillions
First Name
Angelina
Middle Name
Rae
Credential
LMT
Mailing Street Address
7758 State Route 89
Mailing City
Interlaken
Mailing State
NY
Mailing ZIP Code
14847-9642
Mailing Country
US
Mailing Phone
(607) 339-6506
Practice Street Address
1212 Trumansburg RD
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-1314
Practice Country
US
Practice Phone
(607) 288-2205
Practice Fax
(607) 793-9464
Enumeration Date
June 19, 2024
Last Updated
June 19, 2024
Sex
Female
Sole Proprietor
Yes
Certification Date
June 19, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)