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

Stacey Lynn Wilson

Individual provider Physical Therapy Assistant · NPI 1689100992

Stacey Lynn Wilson is a Physical Therapy Assistant in Lafayette, Indiana. Licensed in Indiana. Registered with an NPI since 2017.

Licensed in
IN
In the registry since
2017
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Practice location Address checks out

3022 Yorktown Ct
Lafayette, IN 47909-3212
Phone: (812) 899-2700
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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 06003530A (IN)

Record details

NPI number1689100992
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 5, 2017
Last updated in NPPESMay 5, 2017
Mailing address3022 Yorktown Ct, Lafayette, IN 47909-3212

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