Individual
MRS. STACEY ANNE ULERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
4851 TINCHER RD, INDIANAPOLIS, IN 46221
(317) 627-0723
Mailing address
943 GULF SHORE BLVD, KOKOMO, IN 46902-4898
(765) 455-1606
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002726A
IN
Other
Enumeration date
07/07/2008
Last updated
06/20/2018
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