Individual
STACEY SCHMALTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3600 W BETHEL AVE, MUNCIE, IN 47304-5407
(765) 213-3870
Mailing address
3813 S MADISON ST, MUNCIE, IN 47302-5758
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06000896A
IN
Other
Enumeration date
10/30/2008
Last updated
10/30/2008
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