Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY ANN ERTEL, PT
Active Sole ProprietorSTACEY ANN ERTEL, PT is a Mechanotherapist healthcare provider located in CAMBRIDGE, Idaho. NPI 1174757793 is currently active in the NPPES registry. Verify at CMS.
Mechanotherapist · CAMBRIDGE, ID
Registration Details
- NPI Number
- 1174757793
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 11, 2009 (17.242559493284 yrs)
- Last Updated
- May 11, 2009
- Licenses
-
PT-1187 (ID)3180 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3054 GOODRICH RDCAMBRIDGE, ID, 836105134Browse ID providers · Browse ZIP 83610
- Phone
- 2082573499
- Fax
- 2082573539
- Primary Specialty
-
Mechanotherapist
172M00000X
- Additional Specialty
- Mechanotherapist
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.