Individual provider · Type 1 NPI
Staci Carrol Sprauer, LMT
Specialist · Mount Angel, OR
NPI number
1336483007
Active
Practice location
405 Cindy Ln
Mount Angel, OR 97362-9592
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 19370 (OR) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1336483007
Staci Carrol Sprauer, LMT's National Provider Identifier is 1336483007, issued on Nov 19, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Mount Angel, OR. The record was last updated on Nov 19, 2012.