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NPI Code Detail

MEDICARE: STACEY TOOMEY LMT

MEDICARE:   STACEY  TOOMEY  LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist9418NV

General Provider Information

NPI Number : 1851917389
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACEY TOOMEY LMT
Provider Business Mailing Address
First Line : 9030 W SAHARA AVE
Second Line : PMB 185
City : LAS VEGAS
State : NV
Zip : 89117-5744
Country : US
Telephone Number : 702-771-1279
Fax Number :
Provider Business Practice Location Address
First Line : 3950 E SUNSET RD STE 118
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-4906
Country : US
Telephone Number : 702-997-6374
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2020
Last Update Date : 06/20/2020

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Directions to “ STACEY TOOMEY LMT” Practice Location

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