Individual
STACEY A SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3850 SENECA ST, WEST SENECA, NY 14224-3409
(716) 400-5142
(716) 671-5111
Mailing address
3850 SENECA ST, WEST SENECA, NY 14224-3409
(716) 400-5142
(716) 671-5111
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
025666
NY
225700000X
Massage Therapist
MT009349
GA
Other
Enumeration date
12/18/2014
Last updated
08/03/2023
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