BROOKE DUNCAN STACY (NPI# 1285281113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285281113 |
| Entity Type | Individual |
| Full Name | BROOKE DUNCAN STACY |
| Other Name | BROOKE DUNCAN BARBOUR |
| Practice Address |
3615 Newburg Rd Louisville KY 40218-3368 |
| Practice Telephone | 5029090772 |
| Mailing Telephone | 5029090772 |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 108328 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 S 13th St, Louisville, KY 402031778 | 5025831011 | |
| 3615 Newburg Rd, Louisville, KY 402183368 | 5029090772 |
| Street Address |
3615 NEWBURG RD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40218-3368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518967371 | Michael Thomas Casnellie | Orthopaedic Surgery | 3615 Newburg Rd, Louisville, KY 40218-3368 | 2005-07-22 |
| 1649889064 | Katherine Renee Germak | Physical Therapy Assistant | 3615 Newburg Rd, Louisville, KY 40218-3368 | 2020-07-31 |
| 1760037824 | William Smith | Physical Therapist | 3615 Newburg Rd, Louisville, KY 40218-3368 | 2019-08-06 |
| 1487131314 | Acuity Rehab | Physical Therapist | 3615 Newburg Rd, Louisville, KY 40218-3368 | 2018-07-24 |
| 1669967881 | Aptiva Health | Physical Therapist | 3615 Newburg Rd, Louisville, KY 40218-3368 | 2018-06-29 |
| 1932617453 | David Koonce | Nurse Practitioner | 3615 Newburg Rd, Louisville, KY 40218-3368 | 2018-01-18 |
| 1538359773 | Lutoria Elizabeth Hebert | Physical Therapist | 3615 Newburg Rd, Louisville, KY 40218-3368 | 2007-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951170 | Okey Patrick Mbadike | Pharmacist | 3616 Buechal By Pass, Louisville, Ky 40218, Louisville, KY 40218 | 2020-10-30 |
| 1992339345 | Rachael P. Abell | Nurse Practitioner | 2210 Buechel Avenue Suite 105, Louisville, KY 40218 | 2020-02-25 |
| 1750938189 | Taylor C Thomas | Nurse Practitioner | 4423 Bardstown Road, Louisville, KY 40218 | 2019-08-21 |
| 1902461692 | Louisville Injury Clinics, Inc | Chiropractor | 4400 Breckenridge Lane, Suite 102, Louisville, KY 40218 | 2019-05-08 |
| 1629564141 | Stepping Stones Counseling | Social Worker | 5414 Bannon Crossing Dr, Louisville, KY 40218 | 2018-07-09 |
| 1396230553 | Kids Without Limits LLC | Home Health | 2204 Bashford Manor Ln, Louisville, KY 40218 | 2018-06-28 |
| 1073008074 | B F P D | Ambulance | 4101 Bardstown Rd, Louisville, KY 40218 | 2018-06-22 |
| 1508358862 | Mary Katherine Biros | Nurse Practitioner | 2202 Buechel Ave Ste 105, Louisville, KY 40218 | 2018-06-03 |
| 1366931644 | Irena Kuca | Student in an Organized Health Care Education/Training Program | 215 Central Avenue Suite 100, Louisville, KY 40218 | 2018-05-02 |
| 1760979124 | Healthy Living Primary Care | General Practice | 4400 Breckenridge Ln Ste 147, Louisville, KY 40218 | 2018-04-20 |
| Find all providers in zip 40218 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093312589 | Jorden E. Duvall | Massage Therapist | 703 W Ashland Ave, Louisville, KY 40215-2403 | 2020-10-07 |
| 1538766787 | Talina Rene Loren | Massage Therapist | 1340 S 3rd St Apt 217, Louisville, KY 40208-2332 | 2020-10-01 |
| 1114532579 | Megan Trodglen | Massage Therapist | 3607 Ethelwood Dr, Louisville, KY 40299-3339 | 2020-09-12 |
| 1477166783 | Victoria Newman | Massage Therapist | 543 N 44th St, Louisville, KY 40212-2710 | 2020-08-26 |
| 1013529858 | Amber Nicole Squires | Massage Therapist | 2044 Midland Ave Apt 2, Louisville, KY 40204-2287 | 2020-08-22 |
| 1710599865 | Jessica D Boyd | Massage Therapist | 10102 Summit Park Pl Apt 201, Louisville, KY 40241-3833 | 2020-08-20 |
| 1124630363 | Karli Shae Neutz | Massage Therapist | 1860 Mellwood Ave Ste 179, Louisville, KY 40206-1033 | 2020-08-19 |
| 1093332330 | Elizabeth Heustis | Massage Therapist | 1012 Bluegrass Ave, Louisville, KY 40215-2314 | 2020-07-02 |
| 1396371860 | Marcella Alice Thompson | Massage Therapist | 5516 Overbrook Woods Pl Apt 103, Louisville, KY 40291-5436 | 2020-03-17 |
| 1154951432 | Suwannee Norwood | Massage Therapist | 3608 Springhurst Blvd, Louisville, KY 40241-4142 | 2020-01-24 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40218 |
Please comment or provide details below to improve the information on BROOKE DUNCAN STACY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.