Individual
SABRINA STACKHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
5164 E 81ST AVE, MERRILLVILLE, IN 46410-5852
(219) 294-9411
Mailing address
5164 E 81ST AVE, MERRILLVILLE, IN 46410-5852
(219) 294-9411
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227017071
IL
246RP1900X
Phlebotomy Technician
Primary
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
08/04/2022
Last updated
04/01/2026
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