Liddle, Stacy L

Liddle, Stacy L is an individual health care provider with primary practice located at 911 W Anderson Ln Ste 117, Austin TX 78757-1501. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is her primary health care specialty. Liddle, Stacy L can be contacted via phone (512) 467-1100.

Contact Information

Primary practice address
911 W Anderson Ln Ste 117 Austin TX 78757-1501
Phone: (512) 467-1100
Fax: (512) 467-1101
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 1105211 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MT022197 Texas

Profile Details

NPI number 1447280250
LBN Legal business name Liddle, Stacy L
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Jan 14th, 2009 - about 16 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.

Request for update

Popular Providers