STACEY GUNDERSON LMT
NPI 1417594524
Massage Therapist in Chippewa Falls, WI

Active since December 08, 2019
4751 W PARK AVE, CHIPPEWA FALLS, WI 54729(715) 563-3900 Get Directions Write a Review

NPPES record last updated: December 8, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Stacey Gunderson Lmt NPPES

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

STACEY GUNDERSON LMT (NPI 1417594524) is an individual massage therapist in Chippewa Falls, Wisconsin, licensed in Wisconsin (12756-146) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1417594524
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameSTACEY GUNDERSONCredential: LMT
Location Address4751 W PARK AVEChippewa Falls, WI 54729-2752
Mailing Address15113 County Highway UnChippewa Falls, WI 54729-5553 · (715) 563-3900
Sole ProprietorYes
Enumeration DateDecember 8, 2019
NPI 1417594524 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 WI · 12756-146
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.
4751 W PARK AVE, Chippewa Falls, WI 54729

Other Providers at the Same Location NPPES

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

Chiropractor
4751 W PARK AVE
CHIPPEWA FALLS, WI 54729

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 Stacey Gunderson's NPI number?

The NPI number for Stacey Gunderson is 1417594524. It was assigned to this individual provider in the NPPES registry on December 8, 2019.

Where is Stacey Gunderson located?

Stacey Gunderson practices at 4751 W Park Ave, Chippewa Falls, WI 54729. The listed phone number is (715) 563-3900.

What is Stacey Gunderson'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 Stacey Gunderson was last updated on December 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.