Stacy Lyn Petkus in Spokane - Physical Therapy Assistant

Stacy Lyn Petkus - NPI 1487851051

Stacy Lyn Petkus is a Physical Therapy Assistant in Spokane, Washington. Stacy Lyn Petkus practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Stacy Lyn Petkus is 1487851051. The last update date is 2007-07-08.

Stacy Lyn Petkus's current location address is 3417 E 30th Ave, Spokane, Washington. You can contact this provider via phone number 5099244650. The mailing address for Stacy Lyn Petkus is 3417 E 30th Ave, Spokane, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Stacy Lyn Petkus
Address 3417 E 30th Ave, Spokane, Washington
Phone Number 5099244650
Fax Number
Sole Proprietor N
Credentials PTA

NPI Number Detail

NPI Number 1487851051
Provider Enumeration Date 2007-06-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3417 E 30th Ave
City Spokane
State Washington (WA)
Post Code 992233741
Phone Number 5099244650
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Definition:
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post

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FAQs about Stacy Lyn Petkus

What is the Stacy Lyn Petkus's unique identification number?

The Stacy Lyn Petkus has been assigned the NPI (National Provider Identifier) Number 1487851051 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Stacy Lyn Petkus is physically located?

The Stacy Lyn Petkus is physically situated at the following address: 3417 E 30Th Ave, Spokane, WA, 992233741.

What is Stacy Lyn Petkus's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Stacy Lyn Petkus is Physical Therapy Assistant, and the taxonomy code that classifies this field of practice is 225200000X.

When was the Stacy Lyn Petkus's 1487851051 issued?

The Stacy Lyn Petkus's 1487851051 was issued on 2007-06-28.

When was the information regarding Stacy Lyn Petkus, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Stacy Lyn Petkus, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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