Doctor Name: | STACEY MARIE KIRKPATRICK |
NPI Number: | 1295950335 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 16717 |
Business Practice Address: | 1 Commons Dr # F Suite 38 Londonderry, NH - 030533441 |
Business Phone Number: | 6034373330 |
Business Fax Number: | 6034370431 |
Mailing Address: | 165 Taylor St, MANCHESTER |
State: | NH |
Postal Code: | 031033769 |
Phone Number: | 8023090599 |
Fax Number: | |
NPI Enumeration Date: | 04/16/2007 |
NPI Last Update Date: | 05/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 16717 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |