Search › Indiana › 171100000X
Stephanie Gordon, L.AC., MSTOM
NPI 1619309945 · on the registry since 2013
Practice
- Address
- 410 Wabash St
Michigan City, IN 46360 - Phone
- (219) 262-2670
Additional practice sites
- 3111 N California Ave, Chicago, IL
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Also registered as
- 374J00000X
- Licence states on file
- IL, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana