Individual
STACY J BORDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
272 KROGER CTR, MOREHEAD, KY 40351-8894
(606) 393-0304
Mailing address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(330) 216-3800
(216) 707-7953
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
014879
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007054
KY LICENSE
KY
Enumeration date
07/07/2014
Last updated
08/09/2022
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