Edwards, Stacey

Edwards, Stacey is an sole proprietor health care provider with primary practice located at 3737 Landings Dr A4, Fort Collins CO 80525-3159. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Edwards, Stacey can be contacted via phone (720) 299-4458.

Contact Information

Primary practice address
3737 Landings Dr A4 Fort Collins CO 80525-3159
Phone: (720) 299-4458
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 12391 Colorado

Profile Details

NPI number 1174867295
LBN Legal business name Edwards, Stacey
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2012
Last updated Nov 15th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174867295 NPPES
Colorado Other 12391 MEDICARE

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