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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STACEY CLEVENGER, CMT

Active Sole Proprietor

STACEY CLEVENGER, CMT is a Massage Therapist healthcare provider located in CICERO, Indiana. NPI 1881267235 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · CICERO, IN

Registration Details

NPI Number
1881267235
Provider Type
Individual
Gender
Female
NPI Issued
Jul 22, 2021 (5.0275688996426 yrs)
Last Updated
Jul 22, 2021
License
MT21906856 (IN)
Sole Proprietor
Yes

Practice Information

Address
369 W CASS ST
CICERO, IN, 460345029
Browse IN providers · Browse ZIP 46034
Phone
6143783359
Primary Specialty
Massage Therapist
225700000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.