MRS. STACEY BOSTER, MS,PT
Physical Therapist
Active
Individual
NPI: 1053319715
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | PT2554 (AR) |
Frequently Asked Questions
NPI 1053319715 is the National Provider Identifier for MRS. STACEY BOSTER, MS,PT, a Physical Therapist provider located in Russellville, AR. This NPI was enumerated on July 7, 2005.
MRS. STACEY BOSTER, MS,PT practices at 3016 W. MAIN STREET, SUITE 200, Russellville, AR 72801.
Quick Facts
- NPI
- 1053319715
- Type
- Individual
- Enumerated
- Jul 7, 2005
- Last Updated
- Sep 28, 2011
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