Doctor Name: | MRS. STACY CAMPBELL RAACK |
NPI Number: | 1245427368 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 006350 |
Business Practice Address: | 2540 Windy Hill Rd Se Marietta, GA - 300678605 |
Business Phone Number: | 7706441000 |
Business Fax Number: | |
Mailing Address: | 1635 Phoenix Blvd, Suite 7 COLLEGE PARK |
State: | GA |
Postal Code: | 303495549 |
Phone Number: | 7709960663 |
Fax Number: | 7709960422 |
NPI Enumeration Date: | 10/02/2007 |
NPI Last Update Date: | 03/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 006350 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |