Staci Burris, PTA
NPI 1003428806 · Physical Therapy Assistant · East Peoria, IL
Staci Burris, PTA is a Physical Therapy Assistant provider in East Peoria, IL (NPI 1003428806).
Provider details
- NPI number
- 1003428806
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 160005049 (IL)
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-08-21
- Last updated
- 2020-08-21
- Certified
- 2020-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.