NPI 1003490657

Stacy Ann Leveroni, MT

Practitioner Massage Therapist Santa Rosa, CA

Practice location

Address: 1045 Estes Dr, Santa Rosa, CA 95409-2637
Phone: (415) 233-2612

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 59081 (CA)

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Registry record

NPI: 1003490657
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 May 2021
Record last updated: 10 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.