MEDICARE: MS. TAMI LEE STONE LMT

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	MT104503	TX

General Provider Information

NPI Number	:	1396362950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TAMI LEE STONE LMT

Provider Business Mailing Address
First Line	:	8404 HITCHING TRL
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-6403
Country	:	US
Telephone Number	:	214-507-6441
Fax Number	:

Provider Business Practice Location Address
First Line	:	6851 VIRGINIA PKWY # 206
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-5621
Country	:	US
Telephone Number	:	214-507-6441
Fax Number	:	469-625-2224

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

Provider Enumeration Date	:	06/30/2020
Last Update Date	:	06/30/2020

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