Stephanie Jane Brackeen, LMT
Massage Therapist in Bella Vista, AR. Individual provider (NPI-1).
NPI number1366043903
StatusActive
Last updated in NPPESNov 2, 2020
Details
- NPI
- 1366043903
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Jane Brackeen
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 2, 2020
- Certification date
- Nov 2, 2020
- Last updated
- Nov 2, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 031998 | NY | Yes |
Practice location
95 Bassingham DrBella Vista, AR 72715-1526
Phone 760-421-2303
Mailing address
95 Bassingham DrBella Vista, AR 72715-1526
Phone 760-421-2303
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Massage Therapist providers in Bella Vista, AR
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All 7 Massage Therapist providers in Bella Vista · All 245 providers in Bella Vista
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