IndividualActive
Lacey Stalder
NPI 1982072039 · Physical Therapy Assistant · Jber, AK
Provider details
- NPI number
- 1982072039
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 103167 (AK)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5993 Coho St
Unit C
Jber, AK 99506-3605
Phone: (231) 557-1240
Approximate (ZIP-level) locationGet directions
Mailing address
5993 Coho St
Jber, AK 99506-3605
Registry dates
- Enumerated
- 2015-09-07
- Last updated
- 2015-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.