Individual
STACIE IREEN BEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
772 FOXCROFT AVE # 14, MARTINSBURG, WV 25401-1838
(304) 262-8161
(304) 262-6061
Mailing address
772 FOXCROFT AVE # 14, MARTINSBURG, WV 25401-1838
(304) 262-8161
(304) 262-6061
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001680
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9350561
MEDICARE P10
WV
Enumeration date
09/07/2011
Last updated
09/07/2011
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