National Provider Identifier
Stephanie Gray, L.M.T., C.L.T.
Stephanie Gray, L.M.T., C.L.T. is listed in the NPPES registry with a primary specialty of Massage Therapist in Ithaca, NY and a listed phone number of (607) 351-6840.
Profile Overview
- NPI
- 1619330370
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- March 31, 2016
- Last Updated
- March 31, 2016
Practice Location
- 107 Oakwood Ln
- Ithaca, NY 14850-2041
Phone: (607) 351-6840
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1619330370
- Entity Type
- Individual
- Last Name
- Gray
- First Name
- Stephanie
- Credential
- L.M.T., C.L.T.
- Mailing Street Address
- 107 Oakwood Ln
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-2041
- Mailing Country
- US
- Practice Street Address
- 107 Oakwood Ln
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-2041
- Practice Country
- US
- Practice Phone
- (607) 351-6840
- Enumeration Date
- March 31, 2016
- Last Updated
- March 31, 2016
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)