Stacy Allgood-Smith, LMT
Individual provider Active NPI Massage Therapist · Frederick, MD
NPI 1174873004 · NPPES record last updated Sep 18, 2012
Key facts
- NPI
- 1174873004
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- M04621 (MD)
- Practice address
- 1780 N Market St
Unit B
Frederick, MD 21701-4300 - Phone
- (301) 378-0334
- NPI assigned
- Sep 18, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| M04621 | MD | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RS Joint Venture LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | M04621 | MD | Yes |
Addresses
Primary practice location
1780 N Market St
Unit B
Frederick, MD 21701-4300
Mailing address
1715 W 7TH St Apt 7
Frederick, MD 21702-4285
Phone (240) 446-2210
Other providers in Frederick, MD
- Traci Allen
- Wesley Matthew Allen
- Allergy & Asthma Inc
- Allergy & Asthmacare, Inc.
- Allergy and Asthma Specialists of Frederick LLC
- Allied Counseling Group
- Allison Care Services Inc.
- Isaiah James Allison
- Jane Allman
- Ally Behavior LLC
All providers in Frederick, MD · Massage Therapist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2012. 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.