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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STACEE NEWSOM, P.T.

Active Sole Proprietor

STACEE NEWSOM, P.T. is a Physical Therapy Assistant healthcare provider located in GRAIN VALLEY, Missouri. NPI 1023205671 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · GRAIN VALLEY, MO

Registration Details

NPI Number
1023205671
Provider Type
Individual
Gender
Female
NPI Issued
Sep 27, 2007 (18.877421445057 yrs)
Last Updated
May 23, 2012
License
2002021172 (MO)
Sole Proprietor
Yes

Practice Information

Address
640 NW JEFFERSON ST
GRAIN VALLEY, MO, 640298278
Browse MO providers · Browse ZIP 64029
Phone
8167267337
Fax
8168470218
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in GRAIN VALLEY, MO

Name Credential NPI
MICHELLE LEA HUDSON P.T. 1932231610
MRS. DEBBIE ANN SCHRADER RPT 1902028053
VICKI LEE MCQUILLAN PT 1811197650
AUBREE L HENDERSHOT DPT 1821223751
TROY H BROWN PT 1194078980
TRISHA LYNN KRSKA PT, DPT 1639503402
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.