Stephanie Cubbage, LMT

Individual provider Active NPI Massage Therapist · Camden, DE

NPI 1851785448 · NPPES record last updated Mar 23, 2015

Key facts

NPI
1851785448
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MT0004105 (DE)
Practice address
301 E Camden Wyoming Ave
Camden, DE 19934-1210
Phone
(302) 535-8236
Fax
(302) 535-8240
NPI assigned
Mar 23, 2015
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MT0004105DEMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Health LLC Past
since Dec 1, 2010
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT0004105 DE Yes

Addresses

Primary practice location

301 E Camden Wyoming Ave
Camden, DE 19934-1210

Mailing address

301 E Camden Wyoming Ave
Camden, DE 19934-1210
Phone (302) 535-8236

Other providers in Camden, DE

All providers in Camden, DE · Massage Therapist in Delaware

Sources for this page

Verify at the official NPI Registry.