Search › Indiana › 207QS0010X
Stacie Hirota, DO
NPI 1720442353 · on the registry since 2016 · sole proprietor
Practice
- Address
- 17160 Dragonfly Dr
Noblesville, IN 46060 - Phone
- (317) 678-2600
- Fax
- (317) 678-2610
- Organisation at this address
- Revitalize Wellness, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Additional practice sites
- 815 W Broad St, Columbus, OH
- 1701 N Senate Blvd, Indianapolis, IN
Registry record
- Primary taxonomy
- 207QS0010X
207QS0010X
- Also registered as
- 207R00000X
390200000X - Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-05-24
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 Indiana