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Mrs. Stacey Geneva Sullivan, LMT
Massage Therapist in Tacoma, Washington
NPI 1669095642

Stacey Geneva Sullivan is a Massage Therapist based in Tacoma, WA. Stacey Geneva Sullivan practices in Tacoma, WA and has the professional credentials of LMT. The NPI Number for Stacey Geneva Sullivan is 1669095642 and holds a License No. MA00023457 (Washington).

The current practice location address for Stacey Geneva Sullivan is 2611 N Stevens St, Tacoma, WA and can be reached out via phone at 253-759-1500 and via fax at 253-759-4172.

Location: 2611 N Stevens St, Tacoma, WA, 98407-4670
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669095642
Provider Name
Stacey Geneva Sullivan
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
2611 N Stevens St, Tacoma, WA, 98407-4670
Phone Number
253-759-1500
Fax Number
253-759-4172
Provider Enumeration Date
05/25/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2611 N Stevens St
City
Tacoma
State
Washington
Zip
98407-4670
Phone Number
253-759-1500
Fax Number
253-759-4172
person
Provider Business Mailing Address Details
Address
2611 N Stevens St
City
Tacoma
State
Washington
Zip
98407-4670
Phone Number
253-759-1500
Fax Number
253-759-4172
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA00023457 (Washington)
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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