Stacey Copeland, LMT
Individual provider Active NPI Massage Therapist · Chattahoochee, FL
NPI 1457029720 · NPPES record last updated Sep 1, 2021
Key facts
- NPI
- 1457029720
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 76508 (FL)
- Practice address
- 310 W Washington St
Chattahoochee, FL 32324-1434 - Phone
- (850) 294-0062
- NPI assigned
- Sep 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 76508 | FL | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 76508 | FL | Yes |
Addresses
Primary practice location
310 W Washington St
Chattahoochee, FL 32324-1434
Mailing address
690 McMillian Rd
Chattahoochee, FL 32324-3107
Phone (850) 694-9982
Other providers in Chattahoochee, FL
- Tiffany Elisabeth Brown
- Tina Rena Brown
- Kimberly Ann Burnsed
- Trina L Christner-Renfroe
- Lindsey Cooke
- Dresa Delane Craven
- Jessica Crawford
- Jessica Nicole Davis
- Ngoc Quang Dong
- Eileen Teresa Duffy
All providers in Chattahoochee, FL · Massage Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2021. 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.