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 |
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Address | 11108 Woodland Ave E, Puyallup, Washington |
Phone Number | 2538455358 |
Fax Number | 2538455753 |
Sole Proprietor | Y |
Credentials | LMP |
NPI Number Detail
NPI Number | 1669595807 |
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Provider Enumeration Date | 2007-04-10 |
Last Updated Date | 2013-08-07 |
Provider Mailing Address Detail
Address | 11108 Woodland Ave E |
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City | Puyallup |
State | Washington (WA) |
Post Code | 983735893 |
Phone Number | 2538455358 |
Fax Number | 2538455753 |
Provider's Primary Taxonomy Detail
Speciality | Massage Therapist |
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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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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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