Individual
STACY GALLEGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
206 IN-930, NEW HAVEN, IN 46774
(219) 730-1137
Mailing address
PO BOX 351, WOODBURN, IN 46797-0351
(219) 730-1137
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT21304706
IN
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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