Provider Demographics
NPI:1215477138
Name:STINIGUTA, IOANA (MASSAGE THERAPIST)
Entity type:Individual
Prefix:MISS
First Name:IOANA
Middle Name:
Last Name:STINIGUTA
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14301 HOPE DR
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48313-3550
Mailing Address - Country:US
Mailing Address - Phone:248-275-4149
Mailing Address - Fax:
Practice Address - Street 1:300 E 4TH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48067-2706
Practice Address - Country:US
Practice Address - Phone:248-275-4149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-24
Last Update Date:2017-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7501009682225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist