MISS STACE LEE ELIZABETH MOORE LMT NPI 1669035903

NPI Information

NPI: 1669035903
Provider Name: MISS STACE LEE ELIZABETH MOORE, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
436 N MAIN ST
WASILLA, AK
ZIP 99654
Phone: (907) 376-8020
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MISS Stace Lee Elizabeth Moore, LMT is a massage therapist in Wasilla, AK. 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. MISS Stace Lee Elizabeth Moore, LMT NPI is 1669035903. 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:

436 N MAIN ST
WASILLA, AK
ZIP 99654-018
Phone: (907) 376-8020
Fax: (907) 376-8017

The enumeration date for this NPI number is 4/22/2019 and was last updated on 4/22/2019.

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		143308	ALASKA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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