NPI 1386966166
Stacie Mix
Practice location
- Address
- 807 Main St North, Cambridge, MN 55008
- Phone
- (763) 552-6161
- Mailing address
- 807 Main St N, Cambridge, MN 55008
Registered specialties
Massage Therapist
Primary
Registry record
- NPI
- 1386966166
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Feb 2010
- Record last updated
- 22 Feb 2010
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.