Individual
STACI MARIE HAYSLIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
401 E BLUE BELL RD, BRENHAM, TX 77833-2407
(979) 836-6611
Mailing address
1974 HILLVIEW RD, BELLVILLE, TX 77418-4386
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2022141
TX
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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