STACEY LYKE, PTA
Physical Therapy Assistant
Active
Individual
NPI: 1679288062
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes | A2580 (MN) |
Frequently Asked Questions
NPI 1679288062 is the National Provider Identifier for STACEY LYKE, PTA, a Physical Therapy Assistant provider located in Grand Rapids, MN. This NPI was enumerated on January 19, 2023.
STACEY LYKE, PTA practices at 923 HALE LAKE POINTE, Grand Rapids, MN 55744.
Quick Facts
- NPI
- 1679288062
- Type
- Individual
- Enumerated
- Jan 19, 2023
- Last Updated
- Jan 19, 2023
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