Stacey Kim Hummel, PTA

NPI #1467968602 in Bremen, Indiana

Provider Information

NPI Number
1467968602
Entity Type
Individual
Name
Stacey Kim Hummel, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Dec 26, 2017
Last Updated
Dec 26, 2017

Practice Location

Address
316 WOODIES LN
City
Bremen
State
Indiana
ZIP Code
46506-1354
Phone
(574) 546-3494

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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