Individual
JAMIE STOTTS MRAZ
Active
Individual
JAMIE STOTTS MRAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005950
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3133915
—
OH
05
—
7100201780
—
KY
Enumeration date
10/15/2010
Last updated
08/01/2019
Update your record
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