Individual
SANDRA STACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1137 MAIN ST, LEOMINSTER, MA 01453-1753
(978) 534-1010
(978) 534-0188
Mailing address
1137 MAIN ST, LEOMINSTER, MA 01453-1753
(978) 534-1010
(978) 534-0188
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11732
MA
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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