Provider Demographics
NPI:1649431495
Name:GARRIGA, STACY ELY (RT,ND)
Entity type:Individual
Prefix:MS
First Name:STACY
Middle Name:ELY
Last Name:GARRIGA
Suffix:
Gender:F
Credentials:RT,ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 WARD AVE
Mailing Address - Street 2:
Mailing Address - City:OCEAN SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:39564-4846
Mailing Address - Country:US
Mailing Address - Phone:678-988-9088
Mailing Address - Fax:601-202-3047
Practice Address - Street 1:169 LAMEUSE ST
Practice Address - Street 2:
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39530-3810
Practice Address - Country:US
Practice Address - Phone:228-229-0512
Practice Address - Fax:601-202-3047
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS175F00000X
GA0026082279G1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGeneral Care
No175F00000XOther Service ProvidersNaturopath