STACI WIXOM JACOBS LMP NPI 1831323344

NPI Information

  • NPI: 1831323344
  • Provider Name: STACI WIXOM JACOBS, LMP
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 1235 N LIBERTY LAKE RD
    SUITE 106
    LIBERTY LAKE, WA
    ZIP 99019
  • Phone: (509) 434-9959

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NPI Details

Staci Wixom Jacobs, LMP is a massage therapist in Liberty Lake, 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. Staci Wixom Jacobs, LMP NPI is 1831323344. 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:

1235 N LIBERTY LAKE RD
SUITE 106
LIBERTY LAKE, WA
ZIP 99019-581
Phone: (509) 434-9959

The enumeration date for this NPI number is 5/12/2009 and was last updated on 5/12/2009.

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
1225700000XMassage TherapistMA 00025318WASHINGTONYes

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: 3/30/2025

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