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Individual
STACIA GAMMAGE
Active
Individual
STACIA GAMMAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC,AT
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
15708
TX
2255A2300X
Athletic Trainer
AT586
AR
2255A2300X
Athletic Trainer
AT7701
TX
Other
Enumeration date
07/26/2014
Last updated
02/16/2026
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