Individual
STACY JO NEEDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2320 IONE RD, LAS VEGAS, NV 89183-7943
(725) 200-3400
Mailing address
2320 IONE RD, LAS VEGAS, NV 89183-7943
(725) 200-3400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1874
NV
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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