Individual
MRS. STACY ROUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7434 KING RD, SARDINIA, OH 45171-8328
(937) 515-1527
Mailing address
7434 KING RD, SARDINIA, OH 45171-8328
(937) 515-1527
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.018104
OH
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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