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Contact Information

STACEY A ERTEL, PT
3054 GOODRICH RD
CAMBRIDGE, ID83610-5134
 Phone: 208-257-3499
 Fax: 208-257-3539
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mechanotherapist

172M00000X
Indicates primary specialty

NPI Profile & details for STACEY A ERTEL · (Female)

NPI Number 1174757793
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 05/11/2009
Last updated 05/11/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # PT-1187
  • OR License # 3180
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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