NPI 1043406234

Stacey Lynne Summerour

Practitioner Physical Therapy Assistant West Columbia, SC

Practice location

Address: 100 Joseph Walker Dr, West Columbia, SC 29169-6939
Phone: (803) 936-0310

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 1894 (SC)

Other Physical Therapy Assistant providers in South Carolina →

Registry record

NPI: 1043406234
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Sep 2007
Record last updated: 20 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.