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Ms. Stacey A Chisholm, LMT
Massage Therapist in New Smyrna Beach, Florida
NPI 1609013564

Stacey A Chisholm is a Massage Therapist based in New Smyrna Beach, FL. Stacey A Chisholm practices in New Smyrna Beach, FL and has the professional credentials of LMT. The NPI Number for Stacey A Chisholm is 1609013564 and holds a License No. 53499 (Florida).

The current practice location address for Stacey A Chisholm is 626 E 3Rd Ave, New Smyrna Beach, FL and can be reached out via phone at 386-316-5313.

Location: 626 E 3Rd Ave, New Smyrna Beach, FL, 32168-8254
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609013564
Provider Name
Stacey A Chisholm
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
626 E 3Rd Ave, New Smyrna Beach, FL, 32168-8254
Phone Number
386-316-5313
Fax Number
Provider Enumeration Date
01/14/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
626 E 3Rd Ave
City
New Smyrna Beach
State
Florida
Zip
32169-3164
Phone Number
386-316-5313
Fax Number
person
Provider Business Mailing Address Details
Address
626 E 3Rd Ave
City
New Smyrna Beach
State
Florida
Zip
32169-3164
Phone Number
386-316-5313
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
53499 (Florida)
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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