Stacy L. Kantola, PT

NPI #1376787457 in Shiprock, New Mexico

Provider Information

NPI Number: 1376787457
Entity Type: Individual
Name: Stacy L. Kantola, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Apr 21, 2009
Last Updated: Apr 21, 2009

Practice Location

Address: US HWY 491 NORTH
City: Shiprock
State: New Mexico
ZIP Code: 87420-0160
Phone: (505) 368-6401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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