William Stacy, LPTA

NPI #1851020333 in Redmond, Oregon

Provider Information

NPI Number: 1851020333
Entity Type: Individual
Name: William Stacy, LPTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: LPTA
Enumeration Date: Jun 8, 2022
Last Updated: Jun 8, 2022

Practice Location

Address: 590 NW 23RD ST
City: Redmond
State: Oregon
ZIP Code: 97756-6969
Phone: (541) 460-0356

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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