Individual
STACEY SPATARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7280 NW 87TH TER STE 210, KANSAS CITY, MO 64153-3706
(816) 226-7843
(816) 583-0954
Mailing address
7280 NW 87TH TER STE 210, KANSAS CITY, MO 64153-3706
(816) 226-7843
(816) 583-0954
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1247059
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
338159201
—
TX
01
—
88TT58
BCBS
TX
Enumeration date
09/05/2014
Last updated
12/29/2023
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