Individual
MRS. STACEY LYNN NEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2965 GAUSE BLVD E, SLIDELL, LA 70461-4154
(985) 641-2996
(985) 259-4500
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11664R
LA
225100000X
Physical Therapist
PT4071
MS
Other
Enumeration date
01/31/2007
Last updated
09/05/2023
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