Gunderson, Stacey

Gunderson, Stacey is an sole proprietor health care provider with primary practice located at 4751 W Park Ave , Chippewa Falls WI 54729-2752. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Gunderson, Stacey can be contacted via phone (715) 563-3900.

Contact Information

Primary practice address
4751 W Park Ave Chippewa Falls WI 54729-2752
Phone: (715) 563-3900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 12756-146 Wisconsin

Profile Details

NPI number 1417594524
LBN Legal business name Gunderson, Stacey
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2019
Last updated Dec 8th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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