Doctor Name: | STACEY MCKOY |
NPI Number: | 1013071133 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 18908 |
Business Practice Address: | 5601 Loch Raven Blvd East Bldg 1st Floor Baltimore, MD - 212392905 |
Business Phone Number: | 3015818054 |
Business Fax Number: | 3015640284 |
Mailing Address: | 6410 Rockledge Dr, Nrh Regional Rehab - Suite 600 BETHESDA |
State: | MD |
Postal Code: | 208171809 |
Phone Number: | 3015818054 |
Fax Number: | 3015640284 |
NPI Enumeration Date: | 12/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 18908 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
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 |