Stacy Ash

NPI #1265184089 in La Pine, Oregon

Provider Information

NPI Number: 1265184089
Entity Type: Individual
Name: Stacy Ash
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Jan 23, 2022
Last Updated: Jan 23, 2022

Practice Location

Address: 51470 HIGHWAY 97 # 5A
City: La Pine
State: Oregon
ZIP Code: 97739-9868
Phone: (541) 876-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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