Individual
MICHELLE CATHERINE STACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTAL
Contact information
Practice address
1307 4 AVE NORTH, WAHPETON, ND 58075
(701) 642-6667
Mailing address
3592 207TH AVE, BRECKENRIDGE, MN 56520-9464
(218) 643-1469
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
655
ND
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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