Stacy Roush, LMT
Individual provider Active NPI Massage Therapist · Sardinia, OH
NPI 1154875615 · NPPES record last updated Aug 12, 2016
Key facts
- NPI
- 1154875615
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 33.018104 (OH)
- Practice address
- 7434 King Rd
Sardinia, OH 45171-8328 - Phone
- (937) 515-1527
- NPI assigned
- Aug 12, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33.018104 | OH | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 33.018104 | OH | Yes |
Addresses
Primary practice location
7434 King Rd
Sardinia, OH 45171-8328
Mailing address
7434 King Rd
Sardinia, OH 45171-8328
Phone (937) 515-1527
Other names
- Stacy Strong
Other providers in Sardinia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.