Stacey Crippen
Individual provider Active NPI Massage Therapist · Orangevale, CA
NPI 1588040182 · NPPES record last updated Aug 5, 2015
Key facts
- NPI
- 1588040182
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 60900 (CA)
- Practice address
- 8680 Greenback LN
Ste. 110
Orangevale, CA 95662-3969 - Phone
- (916) 988-3379
- NPI assigned
- Aug 5, 2015
- 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 |
|---|---|---|---|
| 60900 | CA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 60900 | CA | Yes |
Addresses
Primary practice location
8680 Greenback LN
Ste. 110
Orangevale, CA 95662-3969
Mailing address
8680 Greenback LN
Ste. 110
Orangevale, CA 95662-3969
Phone (916) 988-3379
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- Emese Elisabeth Dabic
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All providers in Orangevale, CA · Massage Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2015. 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.