Individual
MRS. STACI LEANNE AMES
Active
Individual
MRS. STACI LEANNE AMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT 23682
CA
225100000X
Physical Therapist
Primary
PT008510
KY
Other
Enumeration date
07/11/2008
Last updated
10/07/2022
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