Individual
STACEY LYNNE HANNAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1914 S SAGINAW RD, MIDLAND, MI 48640-6808
(989) 486-1154
(734) 224-9984
Mailing address
1914 S SAGINAW RD, MIDLAND, MI 48640-6808
(989) 486-1154
(734) 224-9984
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
225700000X
Massage Therapist
L891159
MI
Other
Enumeration date
11/18/2016
Last updated
06/01/2017
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