Doctor Name: | STACIE M. CALLINS |
NPI Number: | 1710210497 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR/L |
License Number: | 878 |
Business Practice Address: | 180 Mt. Pelia Rd. Healthsouth Cane Creek Rehab. Hospital Martin, TN - 38237 |
Business Phone Number: | 7315874231 |
Business Fax Number: | 7315876716 |
Mailing Address: | 169 Buttermilk Ln, MARTIN |
State: | TN |
Postal Code: | 382378636 |
Phone Number: | 7315879746 |
Fax Number: | |
NPI Enumeration Date: | 09/11/2009 |
NPI Last Update Date: | 09/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 878 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
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. |