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

STACY BROOKE PRENDIVILLE, PT, DPT

Active

STACY BROOKE PRENDIVILLE, PT, DPT is a Physical Therapy Assistant healthcare provider located in PHOENIX, Arizona. NPI 1568194942 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · PHOENIX, AZ

Registration Details

NPI Number
1568194942
Provider Type
Individual
Gender
Female
NPI Issued
Jun 25, 2022 (4.151066452867 yrs)
Last Updated
Jun 25, 2022
License
LPT-32419 (AZ)

Practice Information

Address
4013 E BROADWAY RD
PHOENIX, AZ, 850408818
Browse AZ providers · Browse ZIP 85040
Phone
6024370234
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in PHOENIX, AZ

Name Credential NPI
JAMES H KOSTREWA PT 1679576698
MS. TERESA N GRAFF PT 1770586455
MR. CHAD REILLY MPT 1194728410
MR. JONATHAN ISAAC SCHIBEL PT 1649275900
DOUGLAS BROWN RICE BSPT 1588661888
CHANDRIKA LOTWALA DPT 1871590174
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.