Most Relevant Information
Provider Data
| NPI Number: | 1003225962 |
| Provider Name: | TASHA STUCKENSCHNEIDER |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 2014027174 |
Most Important Dates
| Enumeration Date: | 08/05/2014 |
| Last Updated: | 08/05/2014 |
Provider Practice Location
5780 OSAGE BEACH PKWY
SUITE 220
OSAGE BEACH
MO
650653188
Practice Location Phone/Fax
| Phone: | 5736939128 |
| Fax: |
Provider Mailing Location
5780 OSAGE BEACH PKWY
SUITE 220
OSAGE BEACH
MO
650653188
Provider Mailing Phone/Fax
| Phone: | 5736939128 |
| Fax: |