Individual provider · Type 1 NPI

Stacie Deshannon Cooper, LMT

Massage Therapist · Dallas, TX

NPI number 1720832009 Active

Practice location

10169 Manzanilla Ave
Dallas, TX 75217-1267

Call (469) 992-4246 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT106974 (TX)

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 1720832009

Stacie Deshannon Cooper, LMT's National Provider Identifier is 1720832009, issued on Apr 15, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Dallas, TX. The record was last updated on Apr 15, 2024.