Stacy, Rachael M

Stacy, Rachael M is an individual health care provider with primary practice located at 11339 56Th Ave , Allendale MI 49401-9158. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, which is considered as her primary health care specialty. Stacy, Rachael M can be contacted via phone (209) 224-1054.

Contact Information

Primary practice address
11339 56Th Ave Allendale MI 49401-9158
Phone: (209) 224-1054
Fax: (855) 207-3270
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist 225800000X

Profile Details

NPI number 1508104936
LBN Legal business name Stacy, Rachael M
Credentials CTRS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2013
Last updated Jan 18th, 2013 - about 13 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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