Ms. Judith Ann Stathos
Massage Therapist
4608 S Lamar Blvd
Austin
, Texas 78745-1304
Ms. Judith Ann Stathos
Massage Therapist
4608 S Lamar Blvd
Austin
, Texas 78745-1304
(512) 554-2320
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Ms. Judith Ann Stathos
- 4608 S Lamar Blvd
- Austin, TX
- Zip : 78745-1304
- Phone : (512) 554-2320
Second Address
- Ms. Judith Ann Stathos
- 4608 S Lamar Blvd
- Austin, TX
- Zip : 78745-1304
- Phone : (512) 554-2320
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 023232 | TX |
National Provider Identifier
| NPI | 1013924620 |
|---|---|
| Provider Name | Ms. Judith Ann Stathos |
| First Address | Austin, TX 78745-1304 |
| Second Address | Austin, TX 78745-1304 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/08/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.