STACIE DESHANNON COOPER LMT
NPI 1720832009
Massage Therapist in Dallas, TX

Active since April 15, 2024
10169 MANZANILLA AVE, DALLAS, TX 75217(469) 992-4246 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacie Deshannon Cooper Lmt NPPES

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

STACIE DESHANNON COOPER LMT (NPI 1720832009) is an individual massage therapist in Dallas, Texas, licensed in Texas (MT106974) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1720832009
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameSTACIE DESHANNON COOPERCredential: LMT
Location Address10169 MANZANILLA AVEDallas, TX 75217-1267
Mailing Address10169 Manzanilla AveDallas, TX 75217-1267 · (469) 992-4246
Sole ProprietorYes
Enumeration DateApril 15, 2024
NPPES CertifiedApril 14, 2024
NPI 1720832009 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 TX · MT106974
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.
10169 MANZANILLA AVE, Dallas, TX 75217

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 Stacie Cooper's NPI number?

The NPI number for Stacie Cooper is 1720832009. It was assigned to this individual provider in the NPPES registry on April 15, 2024.

Where is Stacie Cooper located?

Stacie Cooper practices at 10169 Manzanilla Ave, Dallas, TX 75217. The listed phone number is (469) 992-4246.

What is Stacie Cooper'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 Stacie Cooper was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.