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Individual
STACEY ORTIZ
Active
Individual
STACEY ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3841
MN
2255A2300X
Athletic Trainer
A160417201
WA
Other
Enumeration date
04/23/2015
Last updated
02/01/2026
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