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

Mrs. Stacy Lyn Petkus, PTA

Individual provider Physical Therapy Assistant · NPI 1487851051

Mrs. Stacy Lyn Petkus, PTA is a Physical Therapy Assistant in Spokane Valley, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

414 S University Rd
Spokane Valley, WA 99206-5555
Phone: (509) 924-4650
Fax: (509) 228-0851
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X (WA)

Record details

NPI number1487851051
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJune 28, 2007
Last updated in NPPESJuly 8, 2007

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