Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stacey Jonelle Van Tassel, LMP

Individual provider Specialist · NPI 1124214267

Stacey Jonelle Van Tassel, LMP is a Specialist in Black Diamond, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2007
What do these letters mean?
LMP — Licensed Massage Practitioner
A state-licensed massage practitioner.

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Practice location Address checks out

29034 216th Ave SE
Black Diamond, WA 98010-1297
Phone: (360) 886-2649
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MA00020492 (WA)

Record details

NPI number1124214267
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMP
Sole proprietorYes
NPI enumeratedSeptember 21, 2007
Last updated in NPPESSeptember 21, 2007

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