Healthcare Provider Details

I. General information

NPI: 1588621783
Provider Name (Legal Business Name): STACY L. ALMANZA DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STACY DITTMER

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 VALLEY VIEW DR
MOLINE IL
61265-6133
US

IV. Provider business mailing address

5250 COMPETITION DR STE 100
BETTENDORF IA
52722-8837
US

V. Phone/Fax

Practice location:
  • Phone: 309-797-0866
  • Fax: 309-581-1500
Mailing address:
  • Phone: 563-322-0971
  • Fax: 563-324-0615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070-013906
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number080587
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: