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

Individual provider Physical Therapy Assistant · NPI 1043406234

Stacey Lynne Summerour is a Physical Therapy Assistant in West Columbia, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2007
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Practice location Address checks out

100 Joseph Walker Dr
West Columbia, SC 29169-6939
Phone: (803) 936-0310
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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 1894 (SC)

Record details

NPI number1043406234
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 20, 2007
Last updated in NPPESSeptember 20, 2007

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