IndividualActive
Stacey Ertel, PT
NPI 1174757793 · Mechanotherapist · Cambridge, ID
Provider details
- NPI number
- 1174757793
- Entity type
- Individual
- Primary specialty
- MechanotherapistOther Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- Yes
- License
- PT-1187 (ID)
Specialties & taxonomies
Other Service Providers
Other Service Providers
Practice location
3054 Goodrich Rd
Cambridge, ID 83610-5134
Phone: (208) 257-3499
Fax: (208) 257-3539
Approximate (ZIP-level) locationGet directions
Mailing address
3054 Goodrich Rd
Cambridge, ID 83610-5134
Registry dates
- Enumerated
- 2009-05-11
- Last updated
- 2009-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.