Stacey Ann Ertel, PT

NPI #1174757793 in Cambridge, Idaho

Provider Information

NPI Number
1174757793
Entity Type
Individual
Name
Stacey Ann Ertel, PT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Mechanotherapist
Credential
PT
Enumeration Date
May 11, 2009
Last Updated
May 11, 2009

Practice Location

Address
3054 GOODRICH RD
State
Idaho
ZIP Code
83610-5134
Phone
(208) 257-3499

Specialties & Taxonomy Codes

Specialty
Mechanotherapist

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