Individual
STACEY MARBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3514 N FOWLER AVE, SILVER CITY, NM 88061-7210
(575) 388-3127
Mailing address
76 DEER RUN, FARMVILLE, VA 23901-3639
(540) 223-5865
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PT-2023-2380
NM
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/19/2022
Last updated
02/04/2024
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