Stacy Dale, | |
609 E Young Ave Ste B12, Warrensburg, MO 64093-9609 | |
(660) 747-2370 | |
Not Available |
Full Name | Stacy Dale |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 609 E Young Ave Ste B12, Warrensburg, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750468880 | NPI | - | NPPES |
105568 | Other | MO | LICENSE# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Select Physical Therapy Holdings Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1033179510 PECOS PAC ID: 9537076401 Enrollment ID: O20100130000234 |
Mailing Address | Practice Location Address |
---|---|
Stacy Dale, 544 Se County Road Y, Warrensburg, MO 64093-8350 Ph: () - | Stacy Dale, 609 E Young Ave Ste B12, Warrensburg, MO 64093-9609 Ph: (660) 747-2370 |
Christopher Scott Lichte, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 407 E Russell Ave, Building A Suite 6, Warrensburg, MO 64093 Phone: 660-429-4700 Fax: 660-429-0500 | |
Brandon Timothy Alumbaugh, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 540 E Young Ave Ste E, Warrensburg, MO 64093 Phone: 660-747-0247 Fax: 660-747-0347 | |
Jennifer L Dirnberger, PT, CSCI Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 540 E Young Ave, Ste E, Warrensburg, MO 64093 Phone: 660-262-4795 Fax: 660-747-0347 | |
Amanda Jean Wakeman, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 540 E Young Ave, Ste E, Warrensburg, MO 64093 Phone: 660-262-4795 Fax: 660-747-0347 | |
Kennedi Mcvicker, Physical Therapist Medicare: Medicare Enrolled Practice Location: 609 E Young Ave Unit B1-2, Warrensburg, MO 64093 Phone: 660-747-2370 | |
Robert James Massman, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 540 E Young Ave Ste E, Warrensburg, MO 64093 Phone: 660-262-4795 Fax: 660-747-0347 | |
Logan Marie Kroenke, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 540 E Young Ave Ste E, Warrensburg, MO 64093 Phone: 660-262-4795 Fax: 660-747-0347 |