Individual
MRS. STACEY ALBERTS ANN ALBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3382
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0461624
—
IA
01
—
38554
WELLMARK BCBS
IA
01
—
61777600
DEPT OF LABOR
IA
Enumeration date
11/21/2006
Last updated
12/04/2024
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