Stacy Mathias, PTA

NPI #1912115940 in Mitchell, Indiana

Provider Information

NPI Number: 1912115940
Entity Type: Individual
Name: Stacy Mathias, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: May 21, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 24 TEKE BURTON DR
City: Mitchell
State: Indiana
ZIP Code: 47446-7360
Phone: (812) 849-2221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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