Fleetwood, Stacey Lee

Fleetwood, Stacey Lee is an individual health care provider with primary practice located at 4911 State Ave , Kansas City KS 66102-1749. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Fleetwood, Stacey Lee can be contacted via phone (913) 287-8851.

Contact Information

Primary practice address
4911 State Ave Kansas City KS 66102-1749
Phone: (913) 287-8851
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 11-02852 Kansas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2004009998 Missouri

Profile Details

NPI number 1538294772
LBN Legal business name Fleetwood, Stacey Lee
Credentials MSPT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Mar 15th, 2011 - about 15 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 1538294772 NPPES
Missouri Other 2004009998 STATE LICENSE
Missouri Other 11-02852 STATE LICENSE

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