Individual
STACY K REYES DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3455 REWAK DR STE 106, FAIRBANKS, AK 99709-5024
(907) 457-5322
Mailing address
3295 TRANQUILITY CT UNIT 1, NORTH POLE, AK 99705-6380
(407) 990-9095
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
177500
AK
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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