Individual
MS. TRACIE JANICE STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
13103 S HALLET CT, OLATHE, KS 66062-6220
(913) 780-4943
Mailing address
13103 S HALLET CT, OLATHE, KS 66062-6220
(913) 780-4943
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-01779
KS
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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