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Ms. Stacey L Andersen, LACWI#803-55/LMTW
Massage Therapist in Kenosha, Wisconsin
NPI 1376970764

Stacey L Andersen is a Massage Therapist based in Kenosha, WI. Stacey L Andersen practices in Kenosha, WI and has the professional credentials of LACWI#803-55/LMTW. The NPI Number for Stacey L Andersen is 1376970764 and holds a License No. 803-55 (Wisconsin).

The current practice location address for Stacey L Andersen is 5603 7Th Ave, Kenosha, WI and can be reached out via phone at 262-496-5642.

Location: 5603 7Th Ave, Kenosha, WI, 53158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376970764
Provider Name
Stacey L Andersen
Credential
LACWI#803-55/LMTW
Provider Entity Type
Individual
Gender
Female
Address
5603 7Th Ave, Kenosha, WI, 53158
Phone Number
262-496-5642
Fax Number
Provider Enumeration Date
10/01/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5603 7Th Ave
City
Kenosha
State
Wisconsin
Zip
53140
Phone Number
262-496-5642
Fax Number
person
Provider Business Mailing Address Details
Address
5603 7Th Ave
City
Kenosha
State
Wisconsin
Zip
53140
Phone Number
262-496-5642
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Acupuncturist
Speciality
-
Taxonomy
171100000X
License No.
4199-146 (Wisconsin)
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
803-55 (Wisconsin)
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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