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MISS STACY MARRIE LAKE
NPI 1801436027
Massage Therapist in Escanaba, MI

Active since January 15, 2020
1018 LUDINGTON ST, ESCANABA, MI 49829(702) 277-1369 Get Directions Write a Review

NPPES record last updated: January 15, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Miss Stacy Marrie Lake NPPES

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

MISS STACY MARRIE LAKE (NPI 1801436027) is an individual massage therapist in Escanaba, Michigan, licensed in Michigan (7501002200) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1801436027
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMISS STACY MARRIE LAKE
Location Address1018 LUDINGTON STEscanaba, MI 49829-3541
Mailing Address1600 S 30th St Trlr 80Escanaba, MI 49829-1073 · (702) 277-1369
Phone(702) 277-1369
Sole ProprietorYes
Enumeration DateJanuary 15, 2020
✔ NPI 1801436027 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 MI · 7501002200
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.
1018 LUDINGTON ST, Escanaba, MI 49829
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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 Stacy Lake's NPI number?

The NPI number for Stacy Lake is 1801436027. It was assigned to this individual provider in the NPPES registry on January 15, 2020.

Where is Stacy Lake located?

Stacy Lake practices at 1018 Ludington St, Escanaba, MI 49829. The listed phone number is (702) 277-1369.

What is Stacy Lake'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 Lake was last updated on January 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.