Individual provider · Type 1 NPI

Lisa Larae Stam

Massage Therapist · Vancouver, WA

NPI number 1992724850 Active

Practice location

410 E 20th St, Suite #7
Vancouver, WA 98663

Call (360) 608-1806 Map

Fax (360) 253-3047

Mailing address

17906 SE 16th St
Vancouver, WA 98683

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X00019362 (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 1992724850

Lisa Larae Stam's National Provider Identifier is 1992724850, issued on Jul 19, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Vancouver, WA. The record was last updated on Jul 8, 2007.