| Mrs Staci Diane Irwin, LMT | |
|
12650 Edinboro Rd, Edinboro, PA 16412-6016 | |
| (814) 734-4541 | |
| (814) 734-5562 |
| Full Name | Mrs Staci Diane Irwin |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 12650 Edinboro Rd, Edinboro, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205113594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MSG001363 (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Staci Diane Irwin, LMT 12650 Edinboro Rd, Edinboro, PA 16412-6016 Ph: (814) 734-4541 | Mrs Staci Diane Irwin, LMT 12650 Edinboro Rd, Edinboro, PA 16412-6016 Ph: (814) 734-4541 |
Summer Renae Payer, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 201a Waterford St, Edinboro, PA 16412 Phone: 814-734-5000 | |
Julie Boults, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 201a Waterford St, Edinboro, PA 16412 Phone: 814-734-5000 Fax: 814-734-1522 | |
Gail Irene Smith, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 201a Waterford St, Edinboro, PA 16412 Phone: 814-734-5000 | |
Britney Lilly, L.M.T Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 201a Waterford St, Edinboro, PA 16412 Phone: 814-734-5000 | |
Mr. Andrew M Wiltsie, L.M.T. Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 12650 Edinboro Rd, Edinboro, PA 16412 Phone: 814-734-4541 Fax: 814-734-5562 | |
Alec R Morgan, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 201a Waterford St, Edinboro, PA 16412 Phone: 814-734-5000 |