| Stacie Periclos, PT | |
|
13801 E Benson Hwy, Vail, AZ 85641-9074 | |
| (520) 879-2052 | |
| Not Available |
| Full Name | Stacie Periclos |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist - Pediatrics |
| Location | 13801 E Benson Hwy, Vail, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013359611 | NPI | - | NPPES |
| 1952438368 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251P0200X | Physical Therapist - Pediatrics | 2957 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stacie Periclos, PT 13801 E Benson Hwy, Vail, AZ 85641-9074 Ph: (520) 879-2052 | Stacie Periclos, PT 13801 E Benson Hwy, Vail, AZ 85641-9074 Ph: (520) 879-2052 |
Karmae Rose Henseler, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 13370 E Mary Ann Cleveland Way Ste 130, Vail, AZ 85641 Phone: 520-689-7144 | |
Shannon Murphy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13801 E Benson Hwy, Vail, AZ 85641 Phone: 520-879-2084 | |
Susan S Ducklow, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13370 E Mary Ann Cleveland Way Ste 130, Vail, AZ 85641 Phone: 520-689-7144 |