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Mrs. Lisa Larae Stam
Massage Therapist in Vancouver, Washington
NPI 1992724850

Lisa Larae Stam is a Massage Therapist based in Vancouver, WA. Lisa Larae Stam practices in Vancouver, WA. The NPI Number for Lisa Larae Stam is 1992724850 and holds a License No. 00019362 (Washington).

The current practice location address for Lisa Larae Stam is 410 E 20Th St, Vancouver, WA and can be reached out via phone at 360-608-1806 and via fax at 360-253-3047.

Location: 410 E 20Th St, Vancouver, WA, 98683
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992724850
Provider Name
Lisa Larae Stam
Credential
Provider Entity Type
Individual
Gender
Female
Address
410 E 20Th St, Vancouver, WA, 98683
Phone Number
360-608-1806
Fax Number
360-253-3047
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
410 E 20Th St
City
Vancouver
State
Washington
Zip
98663
Phone Number
360-608-1806
Fax Number
360-253-3047
person
Provider Business Mailing Address Details
Address
410 E 20Th St
City
Vancouver
State
Washington
Zip
98663
Phone Number
360-608-1806
Fax Number
360-253-3047
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
00019362 (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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