Stacy Riccelli

NPI #1184056566 in Lynnwood, Washington

Provider Information

NPI Number: 1184056566
Entity Type: Individual
Name: Stacy Riccelli
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Aug 7, 2013
Last Updated: Aug 7, 2013

Practice Location

Address: 19401 40TH AVE W
Address 2: SUITE 330
City: Lynnwood
State: Washington
ZIP Code: 98036-4612
Phone: (425) 670-9987

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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