Mix, Stacie

Mix, Stacie is an individual health care provider with primary practice located at 807 Main St North , Cambridge MN 55008. 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. Mix, Stacie can be contacted via phone (763) 552-6161.

Contact Information

Primary practice address
807 Main St North Cambridge MN 55008
Phone: (763) 552-6161
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1386966166
LBN Legal business name Mix, Stacie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2010
Last updated Feb 22nd, 2010 - about 15 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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