MEDICARE: KAYLIE STEIN CMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	0019010866	VA

General Provider Information

NPI Number	:	1235568528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLIE STEIN CMT

Provider Business Mailing Address
First Line	:	2201 MOUNT VERNON AVE
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	223011313
Country	:	US
Telephone Number	:	703-683-8333
Fax Number	:

Provider Business Practice Location Address
First Line	:	2201 MOUNT VERNON AVE
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	223011313
Country	:	US
Telephone Number	:	703-683-8333
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2013
Last Update Date	:	11/06/2013

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Directions to “ KAYLIE STEIN CMT” Practice Location

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