Individual provider · Type 1 NPI

Stacey Geneva Sullivan, LMT

Massage Therapist · Tacoma, WA

NPI number 1669095642 Active

Practice location

2611 N Stevens St
Tacoma, WA 98407-4670

Call (253) 759-1500 Map

Fax (253) 759-4172

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00023457 (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 1669095642

Stacey Geneva Sullivan, LMT's National Provider Identifier is 1669095642, issued on May 25, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Tacoma, WA. The record was last updated on May 25, 2020.