Individual provider · Type 1 NPI

Stacie Lee Grogan, LMP

Massage Therapist · Puyallup, WA

NPI number 1669595807 Active

Practice location

11108 Woodland Ave E
Puyallup, WA 98373-5893

Call (253) 845-5358 Map

Fax (253) 845-5753

Mailing address

4604 Stikes Dr SE
Lacey, WA 98503-5972

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00013641 (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 1669595807

Stacie Lee Grogan, LMP's National Provider Identifier is 1669595807, issued on Apr 10, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Puyallup, WA. The record was last updated on Aug 7, 2013.