MRS. Stacey Ann Lustila-Siats, P.T.

NPI #1285831628 in Chaska, Minnesota

Provider Information

NPI Number: 1285831628
Entity Type: Individual
Name: MRS. Stacey Ann Lustila-Siats, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Jun 29, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1661 PARK RIDGE DR
City: Chaska
State: Minnesota
ZIP Code: 55318-2841
Phone: (952) 403-2781

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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