Waters, Stacy

Waters, Stacy is an individual health care provider with primary practice located at 200 Campus Dr , Dodge City KS 67801-2760. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Waters, Stacy can be contacted via phone (620) 225-1928.

Contact Information

Primary practice address
200 Campus Dr Dodge City KS 67801-2760
Phone: (620) 225-1928
Fax: (620) 408-9058
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 18-01135 Kansas

Profile Details

NPI number 1558730564
LBN Legal business name Waters, Stacy
Credentials COTA/L
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2015
Last updated Sep 20th, 2015 - about 10 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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