Provider Demographics
NPI:1457660623
Name:TOWLE, STACIE (DPT)
Entity Type:Individual
Prefix:
First Name:STACIE
Middle Name:
Last Name:TOWLE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:STACIE
Other - Middle Name:
Other - Last Name:HOEGEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17 RIVERSIDE ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03062-1304
Mailing Address - Country:US
Mailing Address - Phone:603-889-0177
Mailing Address - Fax:603-889-0176
Practice Address - Street 1:17 RIVERSIDE ST
Practice Address - Street 2:SUITE 203
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03062-1304
Practice Address - Country:US
Practice Address - Phone:603-889-0177
Practice Address - Fax:603-889-0176
Is Sole Proprietor?:No
Enumeration Date:2010-10-05
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3577225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist