Provider Demographics
NPI:1033268180
Name:TAPLEY, STASIA LYNN (PT)
Entity Type:Individual
Prefix:MRS
First Name:STASIA
Middle Name:LYNN
Last Name:TAPLEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:STASIA
Other - Middle Name:LYNN
Other - Last Name:GOODHART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2685 PELHAM PARKWAY
Mailing Address - Street 2:SUITE C
Mailing Address - City:PELHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35124
Mailing Address - Country:US
Mailing Address - Phone:205-621-6503
Mailing Address - Fax:205-621-6507
Practice Address - Street 1:2685 PELHAM PARKWAY
Practice Address - Street 2:SUITE C
Practice Address - City:PELHAM
Practice Address - State:AL
Practice Address - Zip Code:35124
Practice Address - Country:US
Practice Address - Phone:205-621-6503
Practice Address - Fax:205-621-6507
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1643225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51535336OtherBLUE CROSS BLUE SHEILD