Whalio Doctors

NPI 1124470182

Stacy Fitch, PTA

Practitioner Physical Therapy Assistant Southaven, MS

Practice location

Address
83 Airways Pl, Southaven, MS 38671-5885
Phone
(662) 349-8787
Fax
(662) 349-8757

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PA1258 (MS)

Registry record

NPI
1124470182
Entity type
Individual
Sex (as registered)
Female
NPI issued
1 Jul 2016
Record last updated
1 Jul 2016

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.