Stacy Lynn Grengs, CMT

NPI #1679763072 in Foley, Minnesota

Provider Information

NPI Number: 1679763072
Entity Type: Individual
Name: Stacy Lynn Grengs, CMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: CMT
Enumeration Date: Jul 31, 2007
Last Updated: Jul 31, 2007

Practice Location

Address: 431 DEWEY ST
City: Foley
State: Minnesota
ZIP Code: 56329-8406
Phone: (320) 968-8646

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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