| Doctor Name: | STACEY KINSEY |
| NPI Number: | 1487742417 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 3667 |
| Business Practice Address: | 2901 86th St Urbandale, IA - 503224201 |
| Business Phone Number: | 5152763406 |
| Business Fax Number: | 5152765141 |
| Mailing Address: | 8101 Birchwood Ct, Suite S JOHNSTON |
| State: | IA |
| Postal Code: | 501312930 |
| Phone Number: | 5154719720 |
| Fax Number: | 5154719725 |
| NPI Enumeration Date: | 10/11/2006 |
| NPI Last Update Date: | 01/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 3667 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| 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 |