IndividualActive
Stacey Conner
NPI 1124372289 · Developmental Therapist · St. Charles, IL
Provider details
- NPI number
- 1124372289
- Entity type
- Individual
- Primary specialty
- Developmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Mailing address
910 Manley Rd
St. Charles, IL 60174
Registry dates
- Enumerated
- 2012-10-28
- Last updated
- 2018-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.