Stacy Lee Brantley, MPT
Individual provider Active NPI Physical Therapist · Soldotna, AK
NPI 1053541508 · NPPES record last updated Jul 17, 2009
Key facts
- NPI
- 1053541508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1398 (AK)
- Practice address
- 35551 Kenai Spur Hwy
Soldotna, AK 99669-7625 - Phone
- (907) 714-4534
- Fax
- (907) 262-4783
- NPI assigned
- Jul 17, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Peninsula General Hospital, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1398 | AK | Yes |
Addresses
Primary practice location
35551 Kenai Spur Hwy
Soldotna, AK 99669-7625
Mailing address
250 Hospital PL
Soldotna, AK 99669-7559
Phone (907) 714-4534
Other providers in Soldotna, AK
- Frederick Charles Boyd
- Bradley T Cross OD PC
- John Paul Bramante
- Austin Brandes
- Lenaya Miyoko Braniff
- Andrew Breitbeil
- Alverna Elaine Brendible
- Cad R Breuer
- Brian E. Larson, D.C., P.C.
- Amber L Briggs
All providers in Soldotna, AK · Physical Therapist in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.