NPI 1174757793

Stacey Ann Ertel, PT

Practitioner Mechanotherapist Cambridge, ID

Practice location

Address: 3054 Goodrich Rd, Cambridge, ID 83610-5134
Phone: (208) 257-3499
Fax: (208) 257-3539

Registered specialties (2)

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence PT-1187 (ID)

Other Mechanotherapist providers in Idaho →

Mechanotherapist

Other Service Providers Taxonomy 172M00000X Licence 3180 (OR)

Registry record

NPI: 1174757793
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 May 2009
Record last updated: 11 May 2009

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.