National Provider Identifier
Stacey Marie Ryan, LMT
Stacey Marie Ryan, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Canandaigua, NY and a listed phone number of (585) 406-7457.
Profile Overview
- NPI
- 1609371566
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- March 24, 2018
- Last Updated
- March 24, 2018
Practice Location
- 514 S Main St
- Canandaigua, NY 14424-2246
Phone: (585) 406-7457
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1609371566
- Entity Type
- Individual
- Last Name
- Ryan
- First Name
- Stacey
- Middle Name
- Marie
- Credential
- LMT
- Mailing Street Address
- 514 S Main St
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-2246
- Mailing Country
- US
- Mailing Phone
- (585) 406-7457
- Practice Street Address
- 514 S Main St
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-2246
- Practice Country
- US
- Practice Phone
- (585) 406-7457
- Enumeration Date
- March 24, 2018
- Last Updated
- March 24, 2018
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)