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STACY WILSON
NPI 1174898365
Rehabilitation Practitioner in Fallon, NV

Active since March 20, 2012
4233 PELICAN DR, FALLON, NV 89406(775) 291-8406 Get Directions Write a Review

NPPES record last updated: March 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacy Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACY WILSON (NPI 1174898365) is an individual rehabilitation practitioner in Fallon, Nevada and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1174898365
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameSTACY WILSON
Location Address4233 PELICAN DRFallon, NV 89406-2445
Mailing Address4233 Pelican DrFallon, NV 89406-2445 · (775) 291-8406
Phone(775) 291-8406
Sole ProprietorYes
Enumeration DateMarch 20, 2012
✔ NPI 1174898365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
4233 PELICAN DR, Fallon, NV 89406
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Other Names 1

Other Name (5)Stacy Riddle

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Wilson's NPI number?

The NPI number for Stacy Wilson is 1174898365. It was assigned to this individual provider in the NPPES registry on March 20, 2012. The provider is also known as Stacy Riddle.

Where is Stacy Wilson located?

Stacy Wilson practices at 4233 Pelican Dr, Fallon, NV 89406. The listed phone number is (775) 291-8406.

What is Stacy Wilson's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Stacy Wilson was last updated on March 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.