Stacy Ann Mangini, LMT

NPI #1174728752 in Bay Shore, New York

Provider Information

NPI Number: 1174728752
Entity Type: Individual
Name: Stacy Ann Mangini, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jun 15, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 201 BAY SHORE RD
City: Bay Shore
State: New York
ZIP Code: 11706-5327
Phone: (631) 665-6881

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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