Individual provider · Type 1 NPI

Stacey Richelle Cannon, MASSAGE THERAPIST

Massage Therapist · Big Sky, MT

NPI number 1700304565 Active

Practice location

32 Market Place
Big Sky, MT 59716

Mailing address

3230 S 26th Ave
Bozeman, MT 59718-7434

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X664 (MT)

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 1700304565

Stacey Richelle Cannon, MASSAGE THERAPIST's National Provider Identifier is 1700304565, issued on Aug 31, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Big Sky, MT. The record was last updated on Aug 31, 2017.