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Individual

STACEY GARRETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
455 GREENWOOD PARK SOUTH DR STE E, GREENWOOD, IN 46142-4570
(317) 440-8962
(317) 536-3730
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7568

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0500594A
IN
225100000X
Physical Therapist
Primary
12949
TN

Other

Enumeration date
03/14/2017
Last updated
11/19/2024
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