Stacie Lee Grogan in Puyallup - Massage Therapist

Stacie Lee Grogan - NPI 1669595807

Stacie Lee Grogan is a Massage Therapist in Puyallup, Washington. Stacie Lee Grogan practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Stacie Lee Grogan is 1669595807. The last update date is 2013-08-07.

Stacie Lee Grogan's current location address is 11108 Woodland Ave E, Puyallup, Washington. You can contact this provider via phone number 2538455358 and fax number 2538455753. The mailing address for Stacie Lee Grogan is 11108 Woodland Ave E, Puyallup, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Stacie Lee Grogan
Address 11108 Woodland Ave E, Puyallup, Washington
Phone Number 2538455358
Fax Number 2538455753
Sole Proprietor Y
Credentials LMP

NPI Number Detail

NPI Number 1669595807
Provider Enumeration Date 2007-04-10
Last Updated Date 2013-08-07

Provider Mailing Address Detail

Address 11108 Woodland Ave E
City Puyallup
State Washington (WA)
Post Code 983735893
Phone Number 2538455358
Fax Number 2538455753

Provider's Primary Taxonomy Detail

Speciality Massage Therapist
Taxonomy 225700000X
Licence No MA00013641
Definition:
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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FAQs about Stacie Lee Grogan

What is the unique 10-digit identifier code issued to Stacie Lee Grogan by the Centers for Medicare & Medicaid Services?

The Stacie Lee Grogan has been assigned the NPI (National Provider Identifier) 1669595807 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Stacie Lee Grogan is physically located?

The Stacie Lee Grogan is situated at the following address: 11108 Woodland Ave E, Puyallup, WA 983735893.

What is Stacie Lee Grogan's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Stacie Lee Grogan is Massage Therapist, and the corresponding taxonomy classification code for this specialized field is 225700000X.

When was the Stacie Lee Grogan's 1669595807 issued?

The Stacie Lee Grogan's 1669595807 was issued on 2007-04-10.

As of what date were the details related to Stacie Lee Grogan most recently updated or revised?

The information pertaining to Stacie Lee Grogan, including its address, specialty, and other relevant details, was last updated or revised on 2013-08-07.

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