Holder, Stacy L

Holder, Stacy L is an sole proprietor health care provider with primary practice located at 83 Airways Pl , Southaven MS 38671-5885. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Holder, Stacy L can be contacted via phone (662) 349-8787.

Contact Information

Primary practice address
83 Airways Pl Southaven MS 38671-5885
Phone: (662) 349-8787
Fax: (662) 349-8757
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA4995 Mississippi

Profile Details

NPI number 1649554890
LBN Legal business name Holder, Stacy L
Credentials PTA09
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2011
Last updated Oct 6th, 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.

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