MS. STACEY A CHISHOLM L.M.T.
NPI 1609013564
Massage Therapist in New Smyrna Beach, FL

Q: What is Stacey Chisholm's NPI number?

The NPI number for Stacey Chisholm is 1609013564. It was assigned to this individual provider in the NPPES registry on January 14, 2009.

Q: What is Stacey Chisholm's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stacey Chisholm was last updated on April 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since January 14, 2009

626 E 3RD AVE, NEW SMYRNA BEACH, FL 32169(386) 316-5313 Get Directions Write a Review

NPPES record last updated: April 10, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Stacey A Chisholm L.m.t. NPPES

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

MS. STACEY A CHISHOLM L.M.T. (NPI 1609013564) is an individual massage therapist in New Smyrna Beach, Florida, licensed in Florida (53499) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1609013564

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameMS. STACEY A CHISHOLMCredential: L.M.T.

Location Address626 E 3RD AVENew Smyrna Beach, FL 32169-3164

Mailing Address2459 Timberview DrNew Smyrna Beach, FL 32168-8254 · (386) 316-5313

Phone(386) 316-5313

Sole ProprietorYes

Enumeration DateJanuary 14, 2009

Last NPPES UpdateApril 10, 2013

✔ NPI 1609013564 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 FL · 53499

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.

626 E 3RD AVE, New Smyrna Beach, FL 32169

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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 Chisholm's NPI number?

The NPI number for Stacey Chisholm is 1609013564. It was assigned to this individual provider in the NPPES registry on January 14, 2009.

Where is Stacey Chisholm located?

Stacey Chisholm practices at 626 E 3rd Ave, New Smyrna Beach, FL 32169. The listed phone number is (386) 316-5313.

What is Stacey Chisholm'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 Chisholm was last updated on April 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.