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

Stacey Marr, PTA

Individual provider Physical Therapy Assistant · NPI 1215309927

Stacey Marr, PTA is a Physical Therapy Assistant in Walnut, California. Licensed in Florida and Oregon. Registered with an NPI since 2015.

Licensed in
FL, OR
In the registry since
2015
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

340 S Lemon Ave # 6219
Walnut, CA 91789-2706
Phone: (541) 921-1121
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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 PTA 25595 (FL)
Physical Therapy Assistant Taxonomy 225200000X · Licence 08039 (OR)

Record details

NPI number1215309927
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedOctober 21, 2015
Last updated in NPPESOctober 21, 2015
Mailing address340 S Lemon Ave # 6219, Walnut, CA 91789-2706

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