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Miss Stacy Marrie Lake
Massage Therapist in Escanaba, Michigan
NPI 1801436027

Stacy Marrie Lake is a Massage Therapist based in Escanaba, MI. Stacy Marrie Lake practices in Escanaba, MI. The NPI Number for Stacy Marrie Lake is 1801436027 and holds a License No. 7501002200 (Michigan).

The current practice location address for Stacy Marrie Lake is 1018 Ludington St, Escanaba, MI and can be reached out via phone at 702-277-1369.

Location: 1018 Ludington St, Escanaba, MI, 49829-1073
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801436027
Provider Name
Stacy Marrie Lake
Credential
Provider Entity Type
Individual
Gender
Female
Address
1018 Ludington St, Escanaba, MI, 49829-1073
Phone Number
702-277-1369
Fax Number
Provider Enumeration Date
01/15/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1018 Ludington St
City
Escanaba
State
Michigan
Zip
49829-3541
Phone Number
702-277-1369
Fax Number
person
Provider Business Mailing Address Details
Address
1018 Ludington St
City
Escanaba
State
Michigan
Zip
49829-3541
Phone Number
702-277-1369
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
7501002200 (Michigan)
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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