Individual provider · NPI-1

Stacey Elizabeth Cecil X

Physical Therapy Assistant · Marietta, GA

NPI number1003784539
StatusActive
Last updated in NPPESOct 27, 2025

Details

NPI
1003784539
Entity type
Individual (NPI-1)
Name
Stacey Elizabeth Cecil X
Sex
Female
Sole proprietor
No
Enumeration date
Oct 27, 2025
Certification date
Oct 27, 2025
Last updated
Oct 27, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantPTA001382GAYes

Practice location

4817 Hill Creek Ct
Marietta, GA 30062-7305

Phone 404-428-1572

Mailing address

4817 Hill Creek Ct
Marietta, GA 30062-7305

Phone 404-428-1572

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