Individual
STACEY D DAVISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2400 VETERANS MEMORIAL DR, CAPE GIRARDEAU, MO 63701-9620
(573) 225-1173
Mailing address
1696 COUNTY ROAD 651, CAPE GIRARDEAU, MO 63701-7604
(573) 225-1173
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2003026941
MO
Other
Enumeration date
07/30/2024
Last updated
03/31/2026
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