Good, Stacy R

Good, Stacy R is an individual health care provider with primary practice located at 3291 Court St , Pekin IL 61554-6208. 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. Good, Stacy R can be contacted via phone (309) 347-0090.

Contact Information

Primary practice address
3291 Court St Pekin IL 61554-6208
Phone: (309) 347-0090
Fax: (309) 347-0098
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070017434 Illinois

Profile Details

NPI number 1326274630
LBN Legal business name Good, Stacy R
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2009
Last updated Jun 27th, 2012 - about 13 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.

Request for update

Popular Providers