Stacy D Cole

NPI #1326522533 in Kennett, Missouri

Provider Information

NPI Number: 1326522533
Entity Type: Individual
Name: Stacy D Cole
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Recreation Therapist
Enumeration Date: Sep 24, 2018
Last Updated: Sep 24, 2018

Practice Location

Address: 925 HIGHWAY VV
City: Kennett
State: Missouri
ZIP Code: 63857
Phone: (573) 888-5925

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Recreation Therapist	225800000X	Primary

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