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Individual
STACY YOUNGER
Active
Individual
STACY YOUNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6996
CO
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
94932212
—
CO
Enumeration date
01/19/2007
Last updated
01/08/2021
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