Mrs Stacie Lynne Crow, NCTMB is a 
Massage Therapist based in St. Louis Park, Minnesota. Mrs Stacie Lynne Crow is licensed to practice in Minnesota (license number 326624-00) and her current practice location is 
6420 W Lake St, St. Louis Park, Minnesota. She can be reached at her office (for appointments etc.) via phone at 
(651) 271-4963.
NPI number for Mrs Stacie Lynne Crow is 1558687301 and her current mailing address is 3017 Florida Ave S, St. Louis Park, Minnesota. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558687301.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Mrs Stacie Lynne Crow | 
|---|
| Gender | Female | 
|---|
| Speciality | Massage Therapist | 
|---|
| Location | 6420 W Lake St, St. Louis Park, Minnesota | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1558687301
- Provider Enumeration Date: 04/19/2010
- Last Update Date: 04/19/2010
 
		 
		 
Medical Identifiers
		Medical identifiers for Mrs Stacie Lynne Crow such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1558687301 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 225700000X | Massage Therapist | 326624-00 (Minnesota) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Stacie Lynne Crow is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Mrs Stacie Lynne Crow, NCTMB 3017 Florida Ave S,
 St. Louis Park, MN 55426
 Ph: (651) 271-4963
 | Mrs Stacie Lynne Crow, NCTMB 6420 W Lake St,
 St. Louis Park, MN 55426
 Ph: (651) 271-4963
 | 
		
		 
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