Stacy Slack
NPI #1255491916 in Fairview Park, Ohio
Provider Information
- NPI Number
- 1255491916
- Entity Type
- Individual
- Name
- Stacy Slack
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Dec 11, 2006
- Last Updated
- Oct 1, 2013
Practice Location
- Address
- 21225 LORAIN RD
- City
- Fairview Park
- State
- Ohio
- ZIP Code
- 44126-2120
- Phone
- (440) 331-3180
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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