Marcus Steven Stacy

Physical Therapy Assistant · Grove, OK

Individual Active NPI

NPI number 1245816776

Practice location

1001 E 18TH St
Grove, OK 74344-2907
Phone
(918) 786-2243

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NPI record

NPI
1245816776
Entity type
Individual (Type 1)
Enumeration date
March 23, 2021
Last updated
March 23, 2021
Certified
March 23, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 3002 OK

Mailing address

425 14TH Ave NE
Miami, OK 74354-3423
Phone
(918) 533-7454

About Marcus Stacy

Marcus Steven Stacy is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 1001 E 18TH St, Grove, OK 74344-2907. The NPI number 1245816776 was assigned on March 23, 2021 and the record was last updated on March 23, 2021.

Marcus Stacy lists a license in the registry: #3002 (OK) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Marcus Steven Stacy?

The NPI number is 1245816776.

What is the phone number of Marcus Stacy?

The phone number listed for the practice location is (918) 786-2243.

Where is Marcus Stacy located?

1001 E 18TH St, Grove, OK 74344-2907.

What is the taxonomy code for Marcus Stacy?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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