Individual
STACIE L MAZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 MASTER ST STE 3, SUITE #4, CORBIN, KY 40701-1026
(606) 261-2050
(606) 261-2050
Mailing address
1002 S KENTUCKY AVE, CORBIN, KY 40701-1848
(814) 249-1466
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
KY 3892
KY
Other
Enumeration date
12/20/2012
Last updated
06/30/2014
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