DR. Larissa Stacy, PT, DPT

NPI #1811411887 in Kermit, West Virginia

Provider Information

NPI Number: 1811411887
Entity Type: Individual
Name: DR. Larissa Stacy, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Aug 1, 2017
Last Updated: Oct 13, 2022

Practice Location

Address: 47454 ROUTE 52
City: Kermit
State: West Virginia
ZIP Code: 25674-8052
Phone: (304) 393-4072

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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