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

DR. LARISSA STACY, PT, DPT

Active

DR. LARISSA STACY, PT, DPT is a Physical Therapy Assistant healthcare provider located in KERMIT, West Virginia. NPI 1811411887 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · KERMIT, WV

Registration Details

NPI Number
1811411887
Provider Type
Individual
Gender
Female
NPI Issued
Aug 1, 2017 (9.0250211278391 yrs)
Last Updated
Oct 13, 2022
Licenses
007169 (KY)
CP004549T (WV)

Practice Information

Address
47454 ROUTE 52
KERMIT, WV, 256748052
Browse WV providers · Browse ZIP 25674
Phone
3043934072
Fax
3043934074
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in KERMIT, WV

Name Credential NPI
MRS. CRYSTAL GAIL KRIMM MPT 1952781122
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.