Individual
STACEY LAVON KERSCHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1931 BOISE AVE STE 237, LOVELAND, CO 80538-4217
(303) 921-4780
Mailing address
3400 STANFORD RD UNIT A116, FORT COLLINS, CO 80525-2780
(303) 921-4780
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0023523
CO
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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