Stacy Woodward, LMT 21592

NPI #1447611918 in Sweet Home, Oregon

Provider Information

NPI Number: 1447611918
Entity Type: Individual
Name: Stacy Woodward, LMT 21592
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT 21592
Enumeration Date: Mar 11, 2016
Last Updated: Mar 11, 2016

Practice Location

Address: 26650 FERN RIDGE RD
City: Sweet Home
State: Oregon
ZIP Code: 97386-9531
Phone: (541) 405-8470

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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