MISS STACEY RENA VANDALL PTA
NPI 1679786313
Physical Therapy Assistant in Myrtle Beach, SC
About Miss Stacey Rena Vandall Pta NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS STACEY RENA VANDALL PTA (NPI 1679786313) is an individual physical therapy assistant in Myrtle Beach, South Carolina, licensed in South Carolina (1504) and active in the NPI registry since May 2007.
NPPES Registry Identity
Specialties & Licenses
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 Stacey Vandall's NPI number?
The NPI number for Stacey Vandall is 1679786313. It was assigned to this individual provider in the NPPES registry on May 8, 2007.
Where is Stacey Vandall located?
Stacey Vandall practices at 455 Sunnehanna Dr Box 384, Myrtle Beach, SC 29588. The listed phone number is (843) 340-4478.
What is Stacey Vandall's specialty?
The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.
When was this NPI record last updated?
The NPPES record for Stacey Vandall was last updated on September 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.