Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY LYKE, PTA
ActiveSTACEY LYKE, PTA is a Occupational Therapist healthcare provider located in GRAND RAPIDS, Minnesota. NPI 1679288062 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · GRAND RAPIDS, MN
Registration Details
- NPI Number
- 1679288062
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 19, 2023 (3.5970496845175 yrs)
- Last Updated
- Jan 19, 2023
- License
-
A2580 (MN)
Practice Information
- Address
-
923 HALE LAKE POINTEGRAND RAPIDS, MN, 557449615Browse MN providers · Browse ZIP 55744
- Phone
- 2183260543
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in GRAND RAPIDS, MN
| Name | Credential | NPI |
|---|---|---|
| WADE DANIEL HALVORSEN | — | 1952077901 |
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.