Individual
STACIE DEMPSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3109 E BRISTOL ST, ELKHART, IN 46514-4372
(574) 330-4004
Mailing address
59754 SPICEWOOD DR, GOSHEN, IN 46528-8418
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005363A
IN
225200000X
Physical Therapy Assistant
5502005013
MI
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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