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Contact Information

STACY M KLONTZ, PTA(PHYSICAL THERAPI
1649 EAST 72ND ST.
TACOMA, WA98404
 Phone: 253-472-9027
 Fax: 253-474-6258
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for STACY M KLONTZ · (Female)

NPI Number 1295083756
Status Active
Credentials PTA(PHYSICAL THERAPI
Entity Individual
Enumeration date 08/15/2012
Last updated 08/15/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • WA License # P160289499
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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