Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACIE SUZANNE ROEDER
ActiveSTACIE SUZANNE ROEDER is a Physical Therapy Assistant healthcare provider located in COARSEGOLD, California. NPI 1104206093 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · COARSEGOLD, CA
Registration Details
- NPI Number
- 1104206093
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 4, 2015 (11.20612929649 yrs)
- Last Updated
- Jun 4, 2015
- License
-
PT25756 (CA)
Practice Information
- Address
-
35324 HIGHWAY 41SUITE DCOARSEGOLD, CA, 936149285Browse CA providers · Browse ZIP 93614
- Phone
- 5596415445
- Fax
- 5596415449
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in COARSEGOLD, CA
| Name | Credential | NPI |
|---|---|---|
| BRYAN LEQUIA | RPT | 1649668302 |
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.