Healthcare Provider Details

I. General information

NPI: 1114851318
Provider Name (Legal Business Name): STACEY RAPIER LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 CANARY LN
WINCHESTER KY
40391-1645
US

IV. Provider business mailing address

29 CANARY LN
WINCHESTER KY
40391-1645
US

V. Phone/Fax

Practice location:
  • Phone: 859-744-7319
  • Fax: 859-395-5022
Mailing address:
  • Phone: 859-744-7319
  • Fax: 859-395-5022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number303202
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: