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Individual

STACIE LENEE WAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
804 16TH ST, BEDFORD, IN 47421-3823
(812) 583-7310
(762) 214-9268
Mailing address
804 16TH ST, BEDFORD, IN 47421-3823
(812) 583-7310
(762) 214-9268

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT22608888
IN

Other

Enumeration date
05/21/2026
Last updated
05/27/2026
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