Stacey M Hall
Massage Therapist
5 Nassau Blvd
Garden City
, New York 11530-5340
Stacey M Hall
Massage Therapist
5 Nassau Blvd
Garden City
, New York 11530-5340
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Stacey M Hall
- Po Box 5092
- Montauk, NY
- Zip : 11954-0906
- Phone :
Second Address
- Stacey M Hall
- 5 Nassau Blvd
- Garden City, NY
- Zip : 11530-5340
- Phone : (516) 505-1008
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 011836-1 | NY |
National Provider Identifier
| NPI | 1013415124 |
|---|---|
| Provider Name | Stacey M Hall |
| First Address | Montauk, NY 11954-0906 |
| Second Address | Garden City, NY 11530-5340 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/01/2018 |
| Last Update Date | 24/01/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.