Doctor Name: | MRS. STACY BROOKE TARRH |
NPI Number: | 1013006550 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 5501013066 |
Business Practice Address: | 3282 Clear Vista Ct Ne Suite A Grand Rapids, MI - 495259766 |
Business Phone Number: | 6163652709 |
Business Fax Number: | 6163653174 |
Mailing Address: | 2120 43rd St Se, Suite 100 GRAND RAPIDS |
State: | MI |
Postal Code: | 495083772 |
Phone Number: | 6162811144 |
Fax Number: | 6162811221 |
NPI Enumeration Date: | 10/12/2006 |
NPI Last Update Date: | 10/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501013066 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |