MS. Stacey A Chisholm, L.M.T.

NPI #1609013564 in New Smyrna Beach, Florida

Provider Information

NPI Number
1609013564
Entity Type
Individual
Name
MS. Stacey A Chisholm, L.M.T.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
L.M.T.
Enumeration Date
Jan 14, 2009
Last Updated
Apr 10, 2013

Practice Location

Address
626 E 3RD AVE
State
Florida
ZIP Code
32169-3164
Phone
(386) 316-5313

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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