Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Stacie Nicole Street

Individual provider Physical Therapy Assistant · NPI 1508106667

Mrs. Stacie Nicole Street is a Physical Therapy Assistant in Kennett Square, Pennsylvania. Licensed in Delaware. Registered with an NPI since 2013.

Licensed in
DE
In the registry since
2013
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Practice location Address checks out

101 E State St
Kennett Square, PA 19348-3109
Phone: (610) 444-6350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence J2-0000766 (DE)

Record details

NPI number1508106667
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 26, 2013
Last updated in NPPESFebruary 26, 2013

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