Stacy Fitch, PTA

NPI #1124470182 in Southaven, Mississippi

Provider Information

NPI Number: 1124470182
Entity Type: Individual
Name: Stacy Fitch, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jul 1, 2016
Last Updated: Jul 1, 2016

Practice Location

Address: 83 AIRWAYS PL
City: Southaven
State: Mississippi
ZIP Code: 38671-5885
Phone: (662) 349-8787

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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