Individual
STACEY L MEERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2982 HIGHWAY K, O FALLON, MO 63368-7861
(636) 978-9235
(636) 978-8299
Mailing address
607 DEWEY AVE NW, SUITE 300, GRAND RAPIDS, MI 49504-7335
(616) 356-5000
(616) 356-5001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
100409
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12480677
CAQH
MO
01
—
P01056506
RAILROAD MEDICARE
MO
Enumeration date
05/17/2006
Last updated
06/11/2016
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