Individual provider · Type 1 NPI
Stacy Covell, LMT
Massage Therapist · Lebanon, OR
NPI number
1124556394
Active
Practice location
321 Tangent St
Lebanon, OR 97355-2730
Mailing address
160 E Sherman St
Lebanon, OR 97355-4143
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 16664 (OR) |
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 1124556394
Stacy Covell, LMT's National Provider Identifier is 1124556394, issued on May 31, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lebanon, OR. The record was last updated on May 31, 2017.