Individual
STACY ANN OETTING
Active
Individual
STACY ANN OETTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
03699
IA
225100000X
Physical Therapist
Primary
1102938
KS
225100000X
Physical Therapist
115364
MO
Other
Enumeration date
04/09/2008
Last updated
05/13/2016
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