STACEY MARIE RYAN (NPI# 1609371566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609371566 |
| Entity Type | Individual |
| Full Name | STACEY MARIE RYAN |
| Credential | LMT |
| Practice Address |
514 S Main St Canandaigua NY 14424-2246 |
| Practice Telephone | 5854067457 |
| Mailing Telephone | 5854067457 |
| Enumeration Date | 2018-03-24 |
| Last Update Date | 2018-03-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 025082 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194212431 | Stacey Ryan | Behavior Technician | 1855 2nd St Ste B, Concord, CA 94519-2623 | 2018-04-20 |
| 1427583111 | Stacey Ryan | Registered Nurse | 214 King St, Ogdensburg, NY 13669-1142 | 2017-05-01 |
| Street Address |
514 S MAIN ST |
| City | CANANDAIGUA |
| State | NY |
| Zip Code | 14424-2246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962862045 | David Arleigh Gregor | Massage Therapist | 514 S Main St, Canandaigua, NY 14424-2246 | 2016-03-02 |
| 1164828687 | Tonya Drew | Massage Therapist | 514 S Main St, Canandaigua, NY 14424-2246 | 2014-11-11 |
| 1750795829 | Family Counseling Service of The Finger Lakes, Inc. | Counselor | 514 S Main St, Canandaigua, NY 14424-2246 | 2014-06-17 |
| 1184048662 | Life's Canvas | Counselor | 514 S Main St, Canandaigua, NY 14424-2246 | 2014-02-05 |
| 1215281977 | Shannon Lynn Passalacqua | Chiropractor | 514 S Main St, Canandaigua, NY 14424-2246 | 2012-11-02 |
| 1003055500 | Raymond Barrett | Counselor | 514 S Main St, Canandaigua, NY 14424-2246 | 2009-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730725029 | Stefanie Ann Hook | Nurse Practitioner | 395 West Street, Suite 101, Canandaigua, NY 14424 | 2019-11-21 |
| 1285120618 | Mary Kathleen Woodruff | Counselor | 163 Gibson Street, Canandaigua, NY 14424 | 2018-07-09 |
| 1699260612 | Victoria Record | Nurse Practitioner | 3325 Marvin Sands Dr, Canandaigua, NY 14424 | 2018-06-22 |
| 1649767443 | Liana Irene Schenk | Counselor | 5297 Parkside Drive, Building 400, Suite 408, Canandaigua, NY 14424 | 2018-04-17 |
| 1225534019 | Brook Slaby | Counselor | 5297 Parkside Dr Building 400 Office 411, Canandaigua, NY 14424 | 2018-04-02 |
| 1154839710 | Madasyn Leigh Smith | Physical Therapist | 229 Parrish St Ste 220, Canandaigua, NY 14424 | 2018-01-17 |
| 1295259992 | Melissa Ann Frarey | Licensed Practical Nurse | 4998 Wyffels Road, Canandaigua, NY 14424 | 2017-08-03 |
| 1235674599 | Wendy Williams | Early Intervention Provider Agency | 5145 North Bloomfiled Road, Canandaigua, NY 14424 | 2016-12-22 |
| 1326418252 | Mary Christine Casella | Registered Nurse | 90 West Gibson Street, Canandaigua, NY 14424 | 2015-10-05 |
| 1417351453 | Holly Jean Jackson | Licensed Practical Nurse | 5a Lafayette Avenue, Canandaigua, NY 14424 | 2014-10-20 |
| Find all providers in zip 14424 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417223678 | Susan Welch | Massage Therapist | 58 N. Main St, Canandaigua, NY 14424 | 2012-03-31 |
| 1306088125 | Rebekah Stapleton | Massage Therapist | 2684 State Route 21, Canandaigua, NY 14424-8720 | 2009-03-25 |
| 1629260740 | Kristn Anne Eldredge | Massage Therapist | 7 Lafayette Avenue, Canandaigua, NY 14424 | 2007-08-13 |
| 1073738589 | Stephen Michael Ryan | Massage Therapist | 473 N Main St, Canandaigua, NY 14424-1048 | 2007-04-17 |
| 1962862045 | David Arleigh Gregor | Massage Therapist | 514 S Main St, Canandaigua, NY 14424-2246 | 2016-03-02 |
| 1164828687 | Tonya Drew | Massage Therapist | 514 S Main St, Canandaigua, NY 14424-2246 | 2014-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861354 | Stephen Quinn | Massage Therapist | 72 Steuben Rd, Garrison, NY 10524-7417 | 2020-11-06 |
| 1750982567 | Moises Payero | Massage Therapist | 407 Beach 20th St Apt 3b, Far Rockaway, NY 11691-3638 | 2020-11-06 |
| 1447851589 | Emily Nicole Bagnasco | Massage Therapist | 827 S 5th St, Lindenhurst, NY 11757-5625 | 2020-11-04 |
| 1053912162 | Chanel Marie Poole | Massage Therapist | 1234 Abbott Rd Ste 230, Lackawanna, NY 14218-1946 | 2020-11-04 |
| 1144821562 | Deping Song | Massage Therapist | 4002 Bowne St, #228, Flushing, NY 11354-6142 | 2020-11-03 |
| 1881295400 | Yoshiko Yamamoto | Massage Therapist | 4914 43rd Ave Apt 3, Woodside, NY 11377-4598 | 2020-11-02 |
| 1780285254 | Devante Quareed Thompson | Massage Therapist | 8944 Metropolitan Ave # 89-44, Rego Park, NY 11374-5331 | 2020-11-02 |
| 1396345062 | Amy Nadine Baker | Massage Therapist | 611 Broadway Rm 814, New York, NY 10012-0032 | 2020-10-30 |
| 1972102655 | Maria Carmen Tapia | Massage Therapist | 14749 72nd Dr Apt 3d, Flushing, NY 11367-2533 | 2020-10-22 |
| 1346849262 | Reddy for Acupuncture | Massage Therapist | 2807 Merrick Rd, Bellmore, NY 11710-5724 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | CANANDAIGUA |
| Zip Code | 14424 |
Please comment or provide details below to improve the information on STACEY MARIE RYAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.