MRS. Carol Ann Stack, LMT

NPI #1376997809 in Saugerties, New York

Provider Information

NPI Number: 1376997809
Entity Type: Individual
Name: MRS. Carol Ann Stack, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Apr 21, 2016
Last Updated: Apr 21, 2016

Practice Location

Address: 292 BLUE MOUNTAIN RD
City: Saugerties
State: New York
ZIP Code: 12477-3554
Phone: (845) 802-6097

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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