Doctor Name: | STACY ANNE MCCOOEY |
NPI Number: | 1841393295 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 62123682401 |
Business Practice Address: | 2080 Gold Dust Ln Park City, UT - 84060 |
Business Phone Number: | 4356479355 |
Business Fax Number: | 4356470464 |
Mailing Address: | 5655 Kingsford Ave, PARK CITY |
State: | UT |
Postal Code: | 840986308 |
Phone Number: | 4014804555 |
Fax Number: | |
NPI Enumeration Date: | 09/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 62123682401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
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 |