NPI 1275291858

Zachary Dale Stuckey, CMT

Practitioner Massage Therapist Mishawaka, IN

Practice location

Address: 229 Red Coach Dr STE 106, Mishawaka, IN 46545-3195
Phone: (574) 318-7800
Fax: (574) 318-7839

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT20902774 (IN)

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Registry record

NPI: 1275291858
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Dec 2021
Record last updated: 1 Dec 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.