Individual
MRS. STACY KATHLEEN SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
15201 OLIVE BLVD, CHESTERFIELD, MO 63017-1810
(636) 532-1515
(636) 519-7279
Mailing address
7733 FORSYTH BLVD, SUITE 2300, SAINT LOUIS, MO 63105-1817
(314) 863-7422
(636) 519-7279
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
115313
MO
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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