Stacey Richelle Cannon, MASSAGE THERAPIST

NPI #1700304565 in Big Sky, Montana

Provider Information

NPI Number: 1700304565
Entity Type: Individual
Name: Stacey Richelle Cannon, MASSAGE THERAPIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: MASSAGE THERAPIST
Enumeration Date: Aug 31, 2017
Last Updated: Aug 31, 2017

Practice Location

Address: 32 MARKET PLACE
City: Big Sky
State: Montana
ZIP Code: 59716
Phone: (406) 995-7575

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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