Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACY DIANE OSTLER, MD
Active Sole ProprietorPhysical Medicine & Rehabilitation · EAGLE, ID
Registration Details
- NPI Number
- 1649242025
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 1, 2006 (20.259310079464 yrs)
- Last Updated
- Apr 21, 2011
- Licenses
-
A68685 (CA)M-9953 (ID)MD00049170 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
875 E PLAZA DR STE 103EAGLE, ID, 836166549Browse ID providers · Browse ZIP 83616
- Phone
- 2082297075
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
- Additional Specialty
- Physical Medicine & Rehabilitation
- Additional Specialty
- Pain Medicine (PM&R)
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.