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

MRS. STACEY ANN ECK, PT, DPT

Active Sole Proprietor

MRS. STACEY ANN ECK, PT, DPT is a Physical Therapy Assistant healthcare provider located in MANIOWOC, Wisconsin. NPI 1063557262 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MANIOWOC, WI

Registration Details

NPI Number
1063557262
Provider Type
Individual
Gender
Female
NPI Issued
Feb 21, 2007 (19.490014994544 yrs)
Last Updated
Aug 3, 2012
Licenses
10686024 (WI)
10686-24 (WI)
Sole Proprietor
Yes

Practice Information

Address
3821 DEWEY ST.
MANIOWOC, WI, 54220
Browse WI providers · Browse ZIP 54220
Phone
9206827585
Fax
9206863601
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant
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.