Doctor Name: | MRS. STACY L WARDEN |
NPI Number: | 1831194778 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 6079 |
Business Practice Address: | The Smith Clinic For Physical Therapy 7037 Hacks Cross Road Olive Branch, MS - 38654 |
Business Phone Number: | 6628907660 |
Business Fax Number: | 6628907661 |
Mailing Address: | The Smith Clinic For Physical Therapy, 7037 Hacks Cross Road OLIVE BRANCH |
State: | MS |
Postal Code: | 38654 |
Phone Number: | 6628907660 |
Fax Number: | 6628907661 |
NPI Enumeration Date: | 06/16/2005 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 6079 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
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 |