Woods, Staci Celeste

Woods, Staci Celeste is an individual health care provider with primary practice located at 457 S Fitness Pl Suite 100, Eagle ID 83616-6568. 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. Woods, Staci Celeste can be contacted via phone (208) 939-3332.

Contact Information

Primary practice address
457 S Fitness Pl Suite 100 Eagle ID 83616-6568
Phone: (208) 939-3332
Fax: (208) 939-3338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X RPT 1598 Idaho

Profile Details

NPI number 1497842926
LBN Legal business name Woods, Staci Celeste
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Jul 8th, 2007 - about 17 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 1497842926 NPPES
Other TC977 BLUE CROSS
Other 000010150739 BLUE CROSS

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