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Stacy Marie Klontz, PTA(Physical Therapi

Physical Therapy Assistant in Tacoma, WA. Individual provider (NPI-1).

NPI number1295083756
StatusActive
Last updated in NPPESAug 15, 2012

Details

NPI
1295083756
Entity type
Individual (NPI-1)
Name
Stacy Marie Klontz
Credential
PTA(Physical Therapi
Sex
Female
Sole proprietor
No
Enumeration date
Aug 15, 2012
Last updated
Aug 15, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantP160289499WAYes

Practice location

1649 East 72nd St.
Tacoma, WA 98404

Phone 253-472-9027 · Fax 253-474-6258

Mailing address

4560 Se International Way
Ste. 100
Milwaukie, OR 97222

Phone 971-206-5200 · Fax 971-206-5203

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