Individual
RACHEL STACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3308 LOGAN DR, HERRIN, IL 62948-3759
(618) 993-4024
(618) 993-1570
Mailing address
611 S 18TH ST, HERRIN, IL 62948-2347
(618) 942-4567
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
070014266
IL
Other
Enumeration date
11/07/2006
Last updated
03/09/2009
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