=====================================================
General NPI Number Information
=====================================================
NPI Number | 1194528331
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MARGARET STEWART LMT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/31/2025
-----------------------------------------------------
Last Update Date | 04/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3010 STATE ROUTE 5 STE B
-----------------------------------------------------
City | CORTLAND
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44410-9110
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 234-926-0274
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1763 COVENTRY AVE NE
-----------------------------------------------------
City | WARREN
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44483-2931
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 234-223-5323
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225700000X
-----------------------------------------------------
Taxonomy Name | Massage Therapist
-----------------------------------------------------
License Number | 33.025641
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------