Individual
ANGELA RENEE STALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7932 N OAK TRFY STE 212, KANSAS CITY, MO 64118-1424
(816) 399-0806
(816) 743-7413
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
002079
GA
225200000X
Physical Therapy Assistant
14-03479
KS
225200000X
Physical Therapy Assistant
3046
NC
225200000X
Physical Therapy Assistant
Primary
CP008048A
MO
Other
Enumeration date
03/27/2007
Last updated
09/24/2021
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