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STACY A DESJARDINS NMT, CMT
NPI 1285912584
Massage Therapist in Santa Rosa, CA

Active since August 03, 2011
4000 MONTGOMERY DR, SUITE L-4, SANTA ROSA, CA 95405(707) 953-2811 Get Directions Write a Review

NPPES record last updated: August 3, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stacy A Desjardins Nmt, Cmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACY A DESJARDINS NMT, CMT (NPI 1285912584) is an individual massage therapist in Santa Rosa, California, licensed in California (14021) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1285912584
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameSTACY A DESJARDINSCredential: NMT, CMT
Location Address4000 MONTGOMERY DR, SUITE L-4Santa Rosa, CA 95405-5281
Mailing Address4000 Montgomery Dr, Suite L-4Santa Rosa, CA 95405 · (707) 953-2811
Phone(707) 953-2811
Sole ProprietorYes
Enumeration DateAugust 3, 2011
✔ NPI 1285912584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in CA · 14021
Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

4000 MONTGOMERY DR, Santa Rosa, CA 95405
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JASMIN A JONES MSTOM LAC
Acupuncturist
4000 MONTGOMERY DR, L-6
SANTA ROSA, CA 95405
Sonoma County (707) 227-4950

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Desjardins's NPI number?

The NPI number for Stacy Desjardins is 1285912584. It was assigned to this individual provider in the NPPES registry on August 3, 2011.

Where is Stacy Desjardins located?

Stacy Desjardins practices at 4000 Montgomery Dr Suite L-4, Santa Rosa, CA 95405. The listed phone number is (707) 953-2811.

What is Stacy Desjardins's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Stacy Desjardins was last updated on August 3, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.