Corrado, Stacey L
Corrado, Stacey L is an individual health care provider with primary practice located at 7211 W 110Th St , Overland Park KS 66210-2339. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Corrado, Stacey L can be contacted via phone (913) 451-7372.Contact Information
Primary practice address
7211 W 110Th St
Overland Park KS 66210-2339
Phone: (913) 451-7372
Fax: (913) 451-7375
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 11-03366 | Kansas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 110767 | Missouri |
Profile Details
| NPI number | 1255386165 |
|---|---|
| LBN Legal business name | Corrado, Stacey L |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Feb 11th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255386165 | NPPES |
| Missouri | Other | MA4370066 | MEDICARE PTAN |
| Missouri | Other | 31209096 | MEDICARE PTAN |
| Missouri | Other | 1255386165 | MEDICARE PTAN |
| Missouri | Other | KA2868003 | MEDICARE PTAN |
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