NPI 1518212273

Stacey Audrene Dillard, LMT

Practitioner Reflexologist The Dalles, OR

Practice location

Address: 1700 E 19th St, The Dalles, OR 97058-3317
Phone: (541) 506-5788

Registered specialties

Reflexologist Primary

Other Service Providers Taxonomy 173C00000X Licence 7742 (OR)

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Registry record

NPI: 1518212273
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jul 2012
Record last updated: 18 Jul 2012

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.