Individual
STACY BEAZER-ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
2375 E SUNNYSIDE RD STE A, IDAHO FALLS, ID 83404-8281
(208) 524-0610
(208) 557-0171
Mailing address
2375 E SUNNYSIDE RD STE A, IDAHO FALLS, ID 83404-8281
(208) 524-0610
(208) 557-0171
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
RPT1069
ID
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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