Stacey Merritt, P.T.

NPI #1205185501 in Bloomington, Illinois

Provider Information

NPI Number: 1205185501
Entity Type: Individual
Name: Stacey Merritt, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Aug 31, 2012
Last Updated: Aug 31, 2012

Practice Location

Address: 2200 E WASHINGTON ST
City: Bloomington
State: Illinois
ZIP Code: 61701-4364
Phone: (309) 662-3311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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