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

STACIA R ANDERSON, PT

Active

STACIA R ANDERSON, PT is a Physical Therapy Assistant healthcare provider located in FOREST LAKE, Minnesota. NPI 1730297300 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · FOREST LAKE, MN

Registration Details

NPI Number
1730297300
Provider Type
Individual
Gender
Female
NPI Issued
Aug 25, 2006 (19.924934706288 yrs)
Last Updated
Aug 23, 2019
License
4512 (MN)

Practice Information

Address
146 LAKE ST N
FOREST LAKE, MN, 550252518
Browse MN providers · Browse ZIP 55025
Phone
6514648502
Fax
6514648547
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in FOREST LAKE, MN

Name Credential NPI
CURTIS R HENNEN PT 1285696294
AMY MARIE GOEHNER PT 1851499222
SHEILA A MAASSEN PT 1760570493
TAMMY KASPROWICZ PT 1538257340
JEANNE MARIE MCCLOSKEY PT 1538384011
NICOLE MARIE DAHMES PT 1427286426
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.