Individual
STACIE MARIE UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
102 SALUDA POINTE DR STE G, LEXINGTON, SC 29072-7295
(803) 296-9204
Mailing address
108 MILL HAVEN LN, LEXINGTON, SC 29072-8234
(704) 608-2177
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3927
SC
Other
Enumeration date
11/11/2008
Last updated
12/30/2025
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