Individual
STACIE LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
118 MEDICAL DR, CARMEL, IN 46032-3323
(317) 844-4211
Mailing address
535 CYCLAMEN CHASE, WESTFIELD, IN 46074-7405
(317) 385-4929
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06006121A
IN
Other
Enumeration date
08/14/2021
Last updated
08/14/2021
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