Search › Ohio › 164W00000X
Stacey Mahan
NPI 1174405948 · on the registry since 2025 · sole proprietor
Practice
- Address
- 720 Fielding Rd
Sidney, OH 45365 - Phone
- (937) 622-0508
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-07-23
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 Ohio