Provider Demographics
NPI:1841727823
Name:CZAPLEWSKI, STACEY A (ATC)
Entity type:Individual
Prefix:MS
First Name:STACEY
Middle Name:A
Last Name:CZAPLEWSKI
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:644 CLARKS LN
Mailing Address - Street 2:
Mailing Address - City:WINONA
Mailing Address - State:MN
Mailing Address - Zip Code:55987-2543
Mailing Address - Country:US
Mailing Address - Phone:507-429-2481
Mailing Address - Fax:
Practice Address - Street 1:175 WEST MARK STREET
Practice Address - Street 2:WINONA STATE UNIVERSITY-139 MEMORIAL HALL
Practice Address - City:WINONA
Practice Address - State:MN
Practice Address - Zip Code:55987
Practice Address - Country:US
Practice Address - Phone:507-457-2333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-22
Last Update Date:2017-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN11822255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer