| Miss Stacy Marrie Lake, | |
|
1018 Ludington St, Escanaba, MI 49829-3541 | |
| (702) 277-1369 | |
| Not Available |
| Full Name | Miss Stacy Marrie Lake |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 1018 Ludington St, Escanaba, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801436027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 7501002200 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Stacy Marrie Lake, 1600 S 30th St Trlr 80, Escanaba, MI 49829-1073 Ph: (702) 277-1369 | Miss Stacy Marrie Lake, 1018 Ludington St, Escanaba, MI 49829-3541 Ph: (702) 277-1369 |
Jill Ivie, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Ludington St, Escanaba, MI 49829 Phone: 190-678-9586 | |
Jennifer L Caron, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1401 N 23rd St Trlr 58, Escanaba, MI 49829 Phone: 906-420-0990 | |
Deborah St. John, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 902 Ludington St, Escanaba, MI 49829 Phone: 906-399-9000 | |
Tari Wenick, CMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Ludington St, Escanaba, MI 49829 Phone: 906-789-5868 | |
Malarie S Luft, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Ludington Street, Escanaba, MI 49829 Phone: 906-789-5868 |