| NPI | 1588079743 |
|---|---|
| Former Name | TRACY STAHLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 15058) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 60670) |
| 225100000X Physical Therapist (Licence: ID 3626) | |
| 225100000X Physical Therapist (Licence: WV 002728) | |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2014-06-26 |