Stacie Clark, MPT is a
Physical Therapist based in Stoneboro, Pennsylvania. Stacie Clark is licensed to practice in Pennsylvania (license number PT06825) and her current practice location is
2447 Mercer St, Stoneboro, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(724) 376-3666.
NPI number for Stacie Clark is 1770599292 and her current mailing address is 3449 Hadley Rd, Hadley, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770599292.
Healthcare Provider's Profile
Full Name | Stacie Clark |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 2447 Mercer St, Stoneboro, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1770599292
- Provider Enumeration Date: 08/01/2006
- Last Update Date: 02/18/2011
Medical Identifiers
Medical identifiers for Stacie Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770599292 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT06825 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacie Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Stacie Clark, MPT 3449 Hadley Rd, Hadley, PA 16130-2821 Ph: (724) 253-1044 | Stacie Clark, MPT 2447 Mercer St, Stoneboro, PA 16153-2711 Ph: (724) 376-3666 |
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