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STACEY S VANWAVEREN LMT
NPI 1508408303
Massage Therapist in Mount Vernon, WA

Active since October 13, 2019
403 MYRTLE ST, MOUNT VERNON, WA 98273(360) 941-9545 Get Directions Write a Review

NPPES record last updated: October 13, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stacey S Vanwaveren Lmt NPPES

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

STACEY S VANWAVEREN LMT (NPI 1508408303) is an individual massage therapist in Mount Vernon, Washington, licensed in Washington (MA60973308) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1508408303
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameSTACEY S VANWAVERENCredential: LMT
Location Address403 MYRTLE STMount Vernon, WA 98273-3849
Mailing Address3729 Swan CtMount Vernon, WA 98273-8578 · (360) 941-9545
Phone(360) 941-9545
Sole ProprietorYes
Enumeration DateOctober 13, 2019
✔ NPI 1508408303 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 WA · MA60973308
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.
403 MYRTLE ST, Mount Vernon, WA 98273
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Other Providers at the Same Location NPPES 2

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

MS. SUSAN ROONEY WELLMAN L.AC., LMP
Acupuncturist
403 MYRTLE ST
MOUNT VERNON, WA 98273
Skagit County (360) 419-7337
MACY M MULLEN-RACCA LMT
Massage Therapist
403 MYRTLE ST
MOUNT VERNON, WA 98273
Skagit County (425) 474-0909

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 Vanwaveren's NPI number?

The NPI number for Stacey Vanwaveren is 1508408303. It was assigned to this individual provider in the NPPES registry on October 13, 2019.

Where is Stacey Vanwaveren located?

Stacey Vanwaveren practices at 403 Myrtle St, Mount Vernon, WA 98273. The listed phone number is (360) 941-9545.

What is Stacey Vanwaveren'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 Vanwaveren was last updated on October 13, 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.