Jacqueline Michelle Stacy, PTA

NPI #1144556259 in Murfreesboro, Arkansas

Provider Information

NPI Number: 1144556259
Entity Type: Individual
Name: Jacqueline Michelle Stacy, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Oct 23, 2009
Last Updated: Oct 24, 2009

Practice Location

Address: 110 W 13TH ST
City: Murfreesboro
State: Arkansas
ZIP Code: 71958-9501
Phone: (870) 285-2168

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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