Doctor Name: | MRS. STACY LEE BRANTLEY |
NPI Number: | 1053541508 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 1398 |
Business Practice Address: | 35551 Kenai Spur Hwy Soldotna, AK - 996697625 |
Business Phone Number: | 9077144534 |
Business Fax Number: | 9072624783 |
Mailing Address: | 250 Hospital Pl, SOLDOTNA |
State: | AK |
Postal Code: | 996697559 |
Phone Number: | 9077144534 |
Fax Number: | 9072624783 |
NPI Enumeration Date: | 07/17/2009 |
NPI Last Update Date: | 07/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1398 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
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 |