Fleetwood, Stacey Lee
Fleetwood, Stacey Lee is an individual health care provider with primary practice located at 4911 State Ave , Kansas City KS 66102-1749. 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. Fleetwood, Stacey Lee can be contacted via phone (913) 287-8851.Contact Information
Primary practice address
4911 State Ave
Kansas City KS 66102-1749
Phone: (913) 287-8851
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 11-02852 | Kansas |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2004009998 | Missouri |
Profile Details
NPI number | 1538294772 |
---|---|
LBN Legal business name | Fleetwood, Stacey Lee |
Credentials | MSPT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 21st, 2007 |
Last updated | Mar 15th, 2011 - about 14 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 | 1538294772 | NPPES |
Missouri | Other | 2004009998 | STATE LICENSE |
Missouri | Other | 11-02852 | STATE LICENSE |
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