Individual
MRS. STACI LYNN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT, DPT
Contact information
Practice address
2918 E UNIVERSITY AVE, DES MOINES, IA 50317-8236
(515) 265-8272
(515) 265-0176
Mailing address
205 W WACKER DR, SUITE 1020, CHICAGO, IL 60606-1216
(312) 640-0329
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03279
IA
Other
Enumeration date
03/27/2006
Last updated
11/26/2008
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