Individual provider · Type 1 NPI

Stacy E. Park, LMT

Massage Therapist · Chehalis, WA

NPI number 1003778382 Active

Practice location

2923 Jackson Hwy Ste B
Chehalis, WA 98532-8650

Call (360) 996-4778 Map

Fax (360) 996-4783

Mailing address

2923 Jackson Hwy
Chehalis, WA 98532-8650

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA70066055 (WA)

Massage Therapist: 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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About NPI 1003778382

Stacy E. Park, LMT's National Provider Identifier is 1003778382, issued on Nov 25, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Chehalis, WA. The record was last updated on Nov 25, 2025.