Search › West Virginia › 225100000X
Larissa Stacy, PT, DPT
NPI 1811411887 · on the registry since 2017
Practice
- Address
- 47454 Route 52
Kermit, WV 25674 - Phone
- (304) 393-4072
- Fax
- (304) 393-4074
- Organisation at this address
- Broadway Clinic Pharmacy Inc
Therapy Providers Service Organization, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Additional practice sites
- 62 Maude Rd, Inez, KY
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
- Licence states on file
- KY, WV
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-10-13
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 West Virginia