Individual
HEATHER DEROCHER STACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, ATC
Contact information
Practice address
5812 CHASEVIEW RD, NASHVILLE, TN 37221-4115
(615) 305-2553
Mailing address
5812 CHASEVIEW RD, NASHVILLE, TN 37221-4115
(615) 305-2553
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6167
TN
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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