Most Relevant Information
Provider Data
| NPI Number: | 1003285909 |
| Provider Name: | STACI WORM MOT, OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 2083X0100X |
| Specialty: | Preventive Medicine |
| License Number: | 1932 |
Most Important Dates
| Enumeration Date: | 09/21/2015 |
| Last Updated: | 09/21/2015 |
Provider Practice Location
372 S 9TH ST
DAVID CITY
NE
686322116
Practice Location Phone/Fax
| Phone: | 4023671200 |
| Fax: | 8556819015 |
Provider Mailing Location
456 N 8TH ST
DAVID CITY
NE
686321708
Provider Mailing Phone/Fax
| Phone: | 4026411501 |
| Fax: | 8556819015 |