Stacy C Mullins PTA

NPI 1487836375 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1487836375
Gender Female
Enumeration Date 12/03/2007
Last Updated 12/03/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
9 YELLOW WOOD WAY
BECKLEY WV, 25801-7126, US
Phone (304) 255-2376
Fax (304) 255-7120
Business Location
9 YELLOW WOOD WAY
BECKLEY WV, 25801-7126, US
Phone (304) 255-2376
Fax (304) 255-7120
Toxanomy
Taxonomy Code 225200000X
License State West Virginia
License Number 001285
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According to our database, Stacy C Mullins PTA NPI is 1487836375, taxonomy code is 225200000X and license number is 001285, license state is located at West Virginia. Stacy C Mullins PTA physically located at 9 Yellow Wood Way, Beckley WV, 25801-7126. NPI Number Stacy C Mullins PTA has the Individual type.

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1487836375 NPI number is provided on an as is basis without warranty of any kind. 1487836375 is maintained by the National Plan & Provider Enumeration System. The contents of Stacy C Mullins PTA are for informational purposes only.