STACEY MARIE BOSTER

RUSSELLVILLE, AR
NPI1053319715
Former NameSTACEY M IHLER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: AR  PT2554)
Enumeration Date2005-07-07
Last Update Date2011-09-28
Business Address
MRS. STACEY MARIE BOSTER MS,PT
3016 W. MAIN STREET SUITE 200
RUSSELLVILLE, AR 72801
Phone number: 479-967-9657
Mailing Address
MRS. STACEY MARIE BOSTER MS,PT
1520 E 13TH ST
RUSSELLVILLE, AR 72802-7437
Phone number: 479-967-9657
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