Individual
STACEY RAE STUERTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
740 12TH AVE, FAIRMONT, NE 68354-9593
(402) 366-6950
Mailing address
740 12TH AVE, FAIRMONT, NE 68354-9593
(402) 366-6950
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
982
NE
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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