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NPI Code Detail

MEDICARE: ANGELIA SUE STAMPS

MEDICARE: ANGELIA SUE STAMPS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant4517AR
2225200000XPhysical Therapy AssistantA-1124NV
3225200000XPhysical Therapy Assistant2004021782MO

General Provider Information

NPI Number : 1558849307
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELIA SUE STAMPS
Provider Business Mailing Address
First Line : 2963 DODDRIDGE AVE
Second Line :
City : MARYLAND HEIGHTS
State : MO
Zip : 63043-1736
Country : US
Telephone Number : 877-787-3430
Fax Number :
Provider Business Practice Location Address
First Line : 2963 DODDRIDGE AVE
Second Line :
City : MARYLAND HEIGHTS
State : MO
Zip : 63043-1736
Country : US
Telephone Number : 877-787-3430
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2018
Last Update Date : 03/30/2021

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Directions to “ ANGELIA SUE STAMPS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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