Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACIE K HIROTA, DO
Active Sole ProprietorSTACIE K HIROTA, DO is a Sports Medicine healthcare provider located in NOBLESVILLE, Indiana. NPI 1720442353 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · NOBLESVILLE, IN
Registration Details
- NPI Number
- 1720442353
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 10, 2016 (10.300680749715 yrs)
- Last Updated
- May 24, 2025
- Licenses
-
02006097A (IN)02006097A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
17160 DRAGONFLY DRNOBLESVILLE, IN, 460603632Browse IN providers · Browse ZIP 46060
- Phone
- 3176782600
- Fax
- 3176782610
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Sports Medicine
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.