MRS. Stacy Shanette Saljoughi, BA IN KINESIOLOGY
NPI #1558052597 in Fort Worth, Texas
Provider Information
- NPI Number
- 1558052597
- Entity Type
- Individual
- Name
- MRS. Stacy Shanette Saljoughi, BA IN KINESIOLOGY
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician - Attendant Care Provider
- Credential
- BA IN KINESIOLOGY
- Enumeration Date
- May 19, 2023
- Last Updated
- Jun 19, 2025
Practice Location
- Address
- 921 CRAWFORD ST APT 4106
- City
- Fort Worth
- State
- Texas
- ZIP Code
- 76104-3481
- Phone
- (817) 891-2471
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Attendant Care Provider — Attendant Care Provider |
| Private Vehicle |
| Technician - Personal Care Attendant — Personal Care Attendant |
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