MS. Stacy L Thetford, PT
NPI #1841288222 in Rogue River, Oregon
Provider Information
- NPI Number
- 1841288222
- Entity Type
- Individual
- Name
- MS. Stacy L Thetford, PT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- PT
- Enumeration Date
- Oct 11, 2005
- Last Updated
- Sep 6, 2013
Practice Location
- Address
- 230 E MAIN ST
- City
- Rogue River
- State
- Oregon
- ZIP Code
- 97537-9416
- Phone
- (541) 582-2323
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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