Individual
STACY LEIGH SWEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS PT
Contact information
Practice address
500 S MAIN ST STE 113, MOORESVILLE, NC 28115-3228
(704) 327-5911
Mailing address
125 SWAYNE DR, MOORESVILLE, NC 28117-6049
(307) 763-2126
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
A-3631771
—
174H00000X
Health Educator
—
—
225100000X
Physical Therapist
PT777
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114429400
—
WY
Enumeration date
05/22/2007
Last updated
07/21/2022
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