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STACI FULLER
NPI 1861822397
Rehabilitation Practitioner in Henderson, NV

Active since November 19, 2013
112 KOLA ST, HENDERSON, NV 89015(951) 801-0329 Get Directions Write a Review

NPPES record last updated: November 19, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Staci Fuller NPPES

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

STACI FULLER (NPI 1861822397) is an individual rehabilitation practitioner in Henderson, Nevada and active in the NPI registry since November 2013.

NPPES Registry Identity

NPI1861822397
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameSTACI FULLER
Location Address112 KOLA STHenderson, NV 89015-6107
Mailing Address112 Kola StHenderson, NV 89015-6107 · (951) 801-0329
Phone(951) 801-0329
Sole ProprietorYes
Enumeration DateNovember 19, 2013
✔ NPI 1861822397 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.
112 KOLA ST, Henderson, NV 89015
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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 Staci Fuller's NPI number?

The NPI number for Staci Fuller is 1861822397. It was assigned to this individual provider in the NPPES registry on November 19, 2013.

Where is Staci Fuller located?

Staci Fuller practices at 112 Kola St, Henderson, NV 89015. The listed phone number is (951) 801-0329.

What is Staci Fuller'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 Staci Fuller was last updated on November 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.