STACY HOLDER, PTA09

Physical Therapy Assistant

Active Individual
NPI: 1649554890

Practice Address

83 AIRWAYS PL
Southaven, MS 38671

Phone: (662) 349-8787

Specialties

Specialty Code Primary License
Physical Therapy Assistant 225200000X Yes PTA4995 (MS)

Frequently Asked Questions

NPI 1649554890 is the National Provider Identifier for STACY HOLDER, PTA09, a Physical Therapy Assistant provider located in Southaven, MS. This NPI was enumerated on October 6, 2011.
STACY HOLDER, PTA09 practices at 83 AIRWAYS PL, Southaven, MS 38671.

Quick Facts

NPI
1649554890
Type
Individual
Enumerated
Oct 6, 2011
Last Updated
Oct 6, 2011

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