Individual
STACY J SPURLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
569 LAKEWOOD VILLAGE RD, SPRING CITY, TN 37381-3712
(423) 365-2232
Mailing address
569 LAKEWOOD VILLAGE RD, SPRING CITY, TN 37381-3712
(423) 365-2232
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000002871
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4115301
BCBST
TN
01
—
P00315004
RAILROADMEDICARE
TN
Enumeration date
10/24/2006
Last updated
07/08/2007
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