SearchMissouri225X00000X

Staci Blankenship, OTR/L

NPI 1003870304 · on the registry since 2006 · sole proprietor

Practice

Address
4358 Hwy Pp
Poplar Bluff, MO 63901
Phone
(573) 686-5439
Fax
(573) 778-0103

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-09-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri