Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. STACEY ALLEN HATHCOCK, DPT
ActiveMR. STACEY ALLEN HATHCOCK, DPT is a Physical Therapy Assistant healthcare provider located in CORDELE, Georgia. NPI 1083816243 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · CORDELE, GA
Registration Details
- NPI Number
- 1083816243
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 1, 2007 (19.182018829278 yrs)
- Last Updated
- Dec 10, 2009
- License
-
5830 (GA)
Practice Information
- Address
-
307 THIRD AVENUECRISP REGIONAL THERAPIESCORDELE, GA, 31015Browse GA providers · Browse ZIP 31015
- Phone
- 2292714612
- Fax
- 2292714616
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in CORDELE, GA
| Name | Credential | NPI |
|---|---|---|
| BRIDGET T MILANI | DPT | 1598859373 |
| MRS. KAMERON MCKINLEY CAUSEY | DPT | 1033310800 |
| KATHERINE HASHIMOTO | DPT | 1013174044 |
| KEVIN HUGHES | DPT | 1083871016 |
| MRS. LAURIE HOWELL MARTIN | MPT | 1568615797 |
| GENIE E GRAVES | DPT | 1730489832 |
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.