Individual
MS. STACEY DYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
712 PUTNAM PIKE, UNIT 4, CHEPACHET, RI 02814-1403
(401) 568-2200
(401) 568-2206
Mailing address
712 PUTNAM PIKE, UNIT 4, CHEPACHET, RI 02814-1403
(401) 568-2200
(401) 568-2206
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT01270
RI
Other
Enumeration date
07/27/2009
Last updated
07/27/2009
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