Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. STACEY MARIE BOSTER, MS,PT
ActivePhysical Therapy Assistant · RUSSELLVILLE, AR
Registration Details
- NPI Number
- 1053319715
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 7, 2005 (20.790406889615 yrs)
- Last Updated
- Sep 28, 2011
- License
-
PT2554 (AR)
Practice Information
- Address
-
3016 W. MAIN STREETSUITE 200RUSSELLVILLE, AR, 72801Browse AR providers · Browse ZIP 72801
- Phone
- 4799679657
- Fax
- 4799679658
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in RUSSELLVILLE, AR
| Name | Credential | NPI |
|---|---|---|
| MRS. LEIGH MERRITT BARBOREK | DPT | 1902804651 |
| MR. CAMERON A LANE | DPT | 1477551935 |
| MR. JERRY WAYNE MANNING | PT | 1043207525 |
| PHILLIP M. HOWARD | P.T. | 1649259979 |
| SETH B. COULTER | P.T. | 1003895343 |
| MICHELE WILLIAMS | P.T. | 1588644959 |
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.