Individual
STACEY STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SHC
Contact information
Practice address
609 N CALGARY CT, POST FALLS, ID 83854-4906
(208) 773-0746
Mailing address
609 N CALGARY CT, POST FALLS, ID 83854-4906
(208) 773-0746
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
SHC 1262
ID
Other
Enumeration date
04/22/2011
Last updated
11/21/2012
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