Stacie L Maze

NPI #1932445814 in Corbin, Kentucky

Provider Information

NPI Number: 1932445814
Entity Type: Individual
Name: Stacie L Maze
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Dec 20, 2012
Last Updated: Jun 30, 2014

Practice Location

Address: 801 MASTER ST STE 3
Address 2: SUITE #4
City: Corbin
State: Kentucky
ZIP Code: 40701-1026
Phone: (606) 261-2050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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