Basic Information
Provider Information
NPI: 1346422375
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHERZER
FirstName: STACEY
MiddleName: ELIZABETH
NamePrefix: MS.
NameSuffix:  
Credential: MPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 320 E MCDOWELL RD STE 105
Address2:  
City: PHOENIX
State: AZ
PostalCode: 850044515
CountryCode: US
TelephoneNumber: 6025237070
FaxNumber: 6025237071
Practice Location
Address1: 5340 W BUCKEYE RD STE 3
Address2:  
City: PHOENIX
State: AZ
PostalCode: 850434700
CountryCode: US
TelephoneNumber: 6022332117
FaxNumber: 6024847930
Other Information
ProviderEnumerationDate: 11/30/2007
LastUpdateDate: 11/30/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X7914AZY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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