| Doctor Name: | KACI LYNN STAFFORD |
| NPI Number: | 1730512930 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 1234612 |
| Business Practice Address: | 2960 Eldorado Pkwy Suite 75 Mckinney, TX - 750704373 |
| Business Phone Number: | 9725620713 |
| Business Fax Number: | 9725620932 |
| Mailing Address: | 335 Roselane St Nw, Suite 201 MARIETTA |
| State: | GA |
| Postal Code: | 300607902 |
| Phone Number: | 4702595226 |
| Fax Number: | 2673212044 |
| NPI Enumeration Date: | 08/12/2013 |
| NPI Last Update Date: | 03/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1234612 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| 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 |