STACI M BLYTHE

EVANSVILLE, IN
NPI1346522984
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2011-09-09
Last Update Date2011-09-09
Business Address
-- STACI M BLYTHE PTA
1202 SHILOH SQ
EVANSVILLE, IN 47714-0860
Phone number: 812-890-5983
Mailing Address
-- STACI M BLYTHE PTA
1202 SHILOH SQUARE
EVANSVILLE, IN 47714
Phone number: 812-890-5983