Individual provider · Type 1 NPI
Stacey Clevenger, CMT
Massage Therapist · Cicero, IN
NPI number
1881267235
Active
Practice location
369 W Cass St
Cicero, IN 46034-5029
Mailing address
PO Box 931
Cicero, IN 46034-0931
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT21906856 (IN) |
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.
About NPI 1881267235
Stacey Clevenger, CMT's National Provider Identifier is 1881267235, issued on Jul 22, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Cicero, IN. The record was last updated on Jul 22, 2021.