Stacia Wynne

NPI #1235401167 in Butte, Montana

Provider Information

NPI Number: 1235401167
Entity Type: Individual
Name: Stacia Wynne
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Feb 8, 2012
Last Updated: Feb 8, 2012

Practice Location

Address: 3131 AMHERST AVE
City: Butte
State: Montana
ZIP Code: 59701-4653
Phone: (406) 494-7035

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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