Individual provider · Type 1 NPI

Stacey S. Vanwaveren, LMT

Massage Therapist · Mount Vernon, WA

NPI number 1508408303 Active

Practice location

403 Myrtle St
Mount Vernon, WA 98273-3849

Call (360) 941-9545 Map

Mailing address

3729 Swan Ct
Mount Vernon, WA 98273-8578

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60973308 (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 1508408303

Stacey S. Vanwaveren, LMT's National Provider Identifier is 1508408303, issued on Oct 13, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Mount Vernon, WA. The record was last updated on Oct 13, 2019.