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

Individual provider Physical Therapy Assistant · NPI 1306467550

Stacey Lynn Ruddy is a Physical Therapy Assistant in Frankenmuth, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2020
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Practice location Address checks out

100 Mayer Rd
Frankenmuth, MI 48734-1334
Phone: (989) 652-4663
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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 5502000759 (MI)

Record details

NPI number1306467550
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 29, 2020
Last updated in NPPESApril 29, 2020
Certification dateApril 29, 2020
Mailing address4300 Chesaning Rd, Chesaning, MI 48616-8422

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