Stacie Lonnette Thompson, MPT

NPI #1881805521 in Rexburg, Idaho

Provider Information

NPI Number: 1881805521
Entity Type: Individual
Name: Stacie Lonnette Thompson, MPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MPT
Enumeration Date: May 24, 2007
Last Updated: Oct 11, 2016

Practice Location

Address: 36 PROFESSIONAL PLZ
City: Rexburg
State: Idaho
ZIP Code: 83440-2049
Phone: (208) 359-9570

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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