Individual provider · Type 1 NPI

Stacy Marrie Lake

Massage Therapist · Escanaba, MI

NPI number 1801436027 Active

Practice location

1018 Ludington St
Escanaba, MI 49829-3541

Call (702) 277-1369 Map

Mailing address

1600 S 30th St Trlr 80
Escanaba, MI 49829-1073

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X7501002200 (MI)

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 1801436027

Stacy Marrie Lake's National Provider Identifier is 1801436027, issued on Jan 15, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Escanaba, MI. The record was last updated on Jan 15, 2020.