Individual
MRS. STACEY LYNN FELLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
9002 MENTOR AVE, MENTOR, OH 44060-6302
(440) 266-1901
(440) 266-1902
Mailing address
1099 HILLROCK DR, SOUTH EUCLID, OH 44121-3852
(216) 381-8110
(216) 297-9200
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8407
OH
Other
Enumeration date
09/21/2006
Last updated
10/22/2008
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