Individual
BREANNE ALANNA STUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
450 LAUREL ST, DES MOINES, IA 50314-3045
(515) 323-6485
(515) 323-6486
Mailing address
450 LAUREL ST, DES MOINES, IA 50314-3045
(515) 323-6485
(515) 323-6486
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT04587
IA
Other
Enumeration date
09/15/2010
Last updated
12/15/2010
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