| Stacy Dale, | |
|
609 E Young Ave Ste B12, Warrensburg, MO 64093-9609 | |
| (660) 747-2370 | |
| Not Available |
| Full Name | Stacy Dale |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 609 E Young Ave Ste B12, Warrensburg, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750468880 | NPI | - | NPPES |
| 105568 | Other | MO | LICENSE# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Select Physical Therapy Holdings Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1033179510 PECOS PAC ID: 9537076401 Enrollment ID: O20100130000234 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Dale, 544 Se County Road Y, Warrensburg, MO 64093-8350 Ph: () - | Stacy Dale, 609 E Young Ave Ste B12, Warrensburg, MO 64093-9609 Ph: (660) 747-2370 |
Christopher Scott Lichte, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 407 E Russell Ave, Building A Suite 6, Warrensburg, MO 64093 Phone: 660-429-4700 Fax: 660-429-0500 | |
Jennifer L Dirnberger, PT, CSCI Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 540 E Young Ave, Ste E, Warrensburg, MO 64093 Phone: 660-262-4795 Fax: 660-747-0347 | |
Amanda Jean Wakeman, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 540 E Young Ave, Ste E, Warrensburg, MO 64093 Phone: 660-262-4795 Fax: 660-747-0347 | |
Kennedi Mcvicker, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 609 E Young Ave Unit B1-2, Warrensburg, MO 64093 Phone: 660-747-2370 | |
Jacob Kettner, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 540 E Young Ave Ste E, Warrensburg, MO 64093 Phone: 660-262-4795 | |
Robert James Massman, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 540 E Young Ave Ste E, Warrensburg, MO 64093 Phone: 660-262-4795 Fax: 660-747-0347 | |
Logan Marie Kroenke, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 540 E Young Ave Ste E, Warrensburg, MO 64093 Phone: 660-262-4795 Fax: 660-747-0347 |