Individual
STACI BARTLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
111 SALE BARN RD, 3, STORM LAKE, IA 50588-7341
(712) 213-1500
Mailing address
1733 GARD AVE, SCHALLER, IA 51053-7417
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3053
IA
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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