Individual
MRS. STACEY MARIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2170 W IRONWOOD CENTER DR, B, COEUR D ALENE, ID 83814-2606
(208) 667-1988
(208) 765-5654
Mailing address
2170 W IRONWOOD CENTER DR, COEUR D ALENE, ID 83814-2606
(208) 667-1988
(208) 765-5654
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60322487
WA
Other
Enumeration date
02/06/2013
Last updated
02/06/2013
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