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Stacey Lyke, PTA
NPI 1679288062 · on the registry since 2023
Practice
- Address
- 923 Hale Lake Pointe
Grand Rapids, MN 55744 - Phone
- (218) 326-0543
- Organisation at this address
- Itasca Nursing Home
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-01-19
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 Minnesota