Stacey Laron Waters
Athletic Trainer · Brandon, FL
NPI number
1497370993
Practice location
804 Childers LoopBrandon, FL 33511-6105
- Phone
- (313) 587-2708
NPI record
- NPI
- 1497370993
- Entity type
- Individual (Type 1)
- Enumeration date
- June 10, 2020
- Last updated
- June 10, 2020
- Certified
- June 10, 2020
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Athletic Trainer Primary | 2255A2300X |
— | FL |
About Stacey Waters
Stacey Laron Waters is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 804 Childers Loop, Brandon, FL 33511-6105. The NPI number 1497370993 was assigned on June 10, 2020 and the record was last updated on June 10, 2020.
Frequently asked questions
What is the NPI number of Stacey Laron Waters?
The NPI number is 1497370993.
What is the phone number of Stacey Waters?
The phone number listed for the practice location is (313) 587-2708.
Where is Stacey Waters located?
804 Childers Loop, Brandon, FL 33511-6105.
What is the taxonomy code for Stacey Waters?
The primary taxonomy code is 2255A2300X – Athletic Trainer.
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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