Individual
STACEY LEE FLEETWOOD
Active
Individual
STACEY LEE FLEETWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02852
KS
225100000X
Physical Therapist
2004009998
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-02852
STATE LICENSE
KS
01
—
2004009998
STATE LICENSE
MO
Enumeration date
02/21/2007
Last updated
03/15/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up