MRS. Stacie Michelle Conn, PTA

NPI #1023229291 in Amarillo, Texas

Provider Information

NPI Number: 1023229291
Entity Type: Individual
Name: MRS. Stacie Michelle Conn, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: May 26, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1901 MEDI PARK DR
Address 2: SUITE 65
City: Amarillo
State: Texas
ZIP Code: 79106-2110
Phone: (806) 468-7611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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