Stacy Roush, LMT
Massage Therapist in Sardinia, OH. Individual provider (NPI-1).
NPI number1154875615
StatusActive
Last updated in NPPESAug 12, 2016
Details
- NPI
- 1154875615
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Stacy Roush
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 12, 2016
- Last updated
- Aug 12, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 33.018104 | OH | Yes |
Other names
- Stacy Strong (Former Name)
Practice location
7434 King RdSardinia, OH 45171-8328
Phone 937-515-1527
Mailing address
7434 King RdSardinia, OH 45171-8328
Phone 937-515-1527
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