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Individual

JESSE STACEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2424 156TH AVE NE, BELLEVUE, WA 98007-3814
(425) 897-8800
Mailing address
2424 156TH AVE NE, BELLEVUE, WA 98007-3814

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60522601
WA

Other

Enumeration date
02/17/2015
Last updated
02/17/2015
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