Active NPIIndividual providerSole proprietor

Mrs. Sakura Staak, LMT

Massage Therapist in Lake Ariel, Pennsylvania

NPI Number1740751569
Practice location
1008 Cheroquee Ter, Lake Ariel, PA 18436-8032
Fax
—
Last updated
November 13, 2024

Sakura Staak is a Massage Therapist based in Lake Ariel, PA. Sakura Staak practices in Lake Ariel, PA and has the professional credentials of LMT. The NPI Number for Sakura Staak is 1740751569 and holds a License No. 8961 (CT). The current practice location address for Sakura Staak is 1008 Cheroquee Ter, Lake Ariel, PA 18436-8032 and can be reached out via phone at 203-685-8222.

Provider Profile Details

NPI Number
1740751569
Provider Name
Sakura Staak
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
1008 Cheroquee Ter, Lake Ariel, PA 18436-8032
Phone Number
203-685-8222
Primary Taxonomy
Massage Therapist · 225700000X
Sole Proprietor
Yes
Provider Enumeration Date
December 6, 2018
Last Update Date
November 13, 2024
Certification Date
November 12, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1008 Cheroquee Ter
Lake Ariel, PA 18436-8032
Zip
18436-8032
Phone Number
203-685-8222
Lake Ariel, PA 18436Get directions →

Provider Business Mailing Address Details

Address
1008 Cheroquee Ter
Lake Ariel, PA 18436-8032
City
Lake Ariel
State
PA
Zip
18436-8032
Phone Number
203-685-8222

License Information

License State (1)
CT
Taxonomy (1)
Nutritionist, Nutrition, Education · 133NN1002X
License Number (2)
8961
License State (2)
CT
Taxonomy (2)
Massage Therapist · 225700000X
License Number (3)
008961
License State (3)
PA
Taxonomy (3)
Massage Therapist · 225700000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Sakura Staak, LMT?

The NPI number of Mrs. Sakura Staak, LMT is 1740751569. It was assigned on December 6, 2018 and is currently active in the NPPES registry.

What is the specialty of Mrs. Sakura Staak, LMT?

Mrs. Sakura Staak, LMT is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in CT under license number 8961.

Where does Mrs. Sakura Staak, LMT practice?

The practice location is 1008 Cheroquee Ter, Lake Ariel, PA 18436-8032. The office can be reached at 203-685-8222 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740751569 directly on the NPPES registry website.

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