Doctor Name: | TROY GLEN STANG |
NPI Number: | 1336295146 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS, PT |
License Number: | PT00006201 |
Business Practice Address: | 803 S 15th St Mount Vernon, WA - 982744514 |
Business Phone Number: | 3604245215 |
Business Fax Number: | |
Mailing Address: | 1777 S Burlington Blvd # 474, BURLINGTON |
State: | WA |
Postal Code: | 982333223 |
Phone Number: | 3604245215 |
Fax Number: | |
NPI Enumeration Date: | 01/25/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT00006201 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |