Stacy Ann Leveroni, MT
Massage Therapist in Santa Rosa, CA. Individual provider (NPI-1).
NPI number1003490657
StatusActive
Last updated in NPPESMay 10, 2021
Details
- NPI
- 1003490657
- Entity type
- Individual (NPI-1)
- Name
- Stacy Ann Leveroni
- Credential
- MT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 10, 2021
- Certification date
- May 10, 2021
- Last updated
- May 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 59081 | CA | Yes |
Practice location
1045 Estes DrSanta Rosa, CA 95409-2637
Phone 415-233-2612
Mailing address
1045 Estes DrSanta Rosa, CA 95409-2637
Phone 415-233-2612
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All 73 Massage Therapist providers in Santa Rosa · All 8,142 providers in Santa Rosa
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