Individual
MISS STACEY LEE DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8414 E SHEA BLVD STE 100, SCOTTSDALE, AZ 85260-6665
(602) 810-9956
Mailing address
8414 E SHEA BLVD STE 100, SCOTTSDALE, AZ 85260-6665
(602) 810-9956
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-11764
AZ
Other
Enumeration date
10/19/2011
Last updated
09/05/2012
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