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NPI Code Detail

MEDICARE: DR. STACEY MACY PARSONS D.P.T., O.C.S.

MEDICARE:  DR. STACEY MACY PARSONS  D.P.T., O.C.S.
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
12251X0800XOrthopedic Physical Therapist27591CA

General Provider Information

NPI Number : 1730247768
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STACEY MACY PARSONS D.P.T., O.C.S.
Provider Business Mailing Address
First Line : 1800 S PACIFIC COAST HWY UNIT 9
Second Line :
City : REDONDO BEACH
State : CA
Zip : 90277-6165
Country : US
Telephone Number : 510-579-3969
Fax Number :
Provider Business Practice Location Address
First Line : 1612 S CATALINA AVE
Second Line :
City : REDONDO BEACH
State : CA
Zip : 90277-5214
Country : US
Telephone Number : 424-290-0096
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2006
Last Update Date : 01/09/2019

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Directions to “ DR. STACEY MACY PARSONS D.P.T., O.C.S.” Practice Location

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