Individual
STACY LYNN BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1932 NILES CORTLAND RD NE, WARREN, OH 44484-1055
(330) 306-5390
Mailing address
1351 STILLWAGON RD SE, WARREN, OH 44484-3154
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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