Wood, Stacey Anne

Wood, Stacey Anne is an individual health care provider with primary practice located at 321 Rood Ave , Grand Junction CO 81501-2451. 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. Wood, Stacey Anne can be contacted via phone (970) 242-0111.

Contact Information

Primary practice address
321 Rood Ave Grand Junction CO 81501-2451
Phone: (970) 242-0111
Fax: (970) 263-4334
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 3113 Colorado

Profile Details

NPI number 1740287366
LBN Legal business name Wood, Stacey Anne
Credentials PT, ATC, MTC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2005
Last updated Jan 21st, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740287366 NPPES
Colorado MEDICAID 38709252

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