STACEY REEK

FARGO, ND
NPI1568988897
Former NameSTACEY GUSTAFSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ND  2202)
Enumeration Date2017-08-18
Last Update Date2018-06-29
Business Address
Mrs. STACEY REEK PT
4674 40TH AVE S UNIT A
FARGO, ND 58104
Phone number: 701-293-7294
Mailing Address
Mrs. STACEY REEK PT
4674 40TH AVE S STE A
FARGO, ND 58104-4501
Phone number: