STEPHANIE RENEE MARCELLE LMP NPI 1194851014

NPI Information

NPI: 1194851014
Provider Name: STEPHANIE RENEE MARCELLE, LMP
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
10909 PORTLAND AVE E
SUITE F
TACOMA, WA
ZIP 98445
Phone: (253) 970-0433
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Stephanie Renee Marcelle, LMP is a massage therapist in Tacoma, WA. The provider is 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. Stephanie Renee Marcelle, LMP NPI is 1194851014. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10909 PORTLAND AVE E
SUITE F
TACOMA, WA
ZIP 98445-252
Phone: (253) 970-0433
Fax: (253) 535-1349

The enumeration date for this NPI number is 2/26/2007 and was last updated on 5/18/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		MA22058	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	206993	OTHER	WASHINGTON	WORKERS COMP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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