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

Stacey Raulerson, PTA

Individual provider Physical Therapy Assistant · NPI 1730272162

Stacey Raulerson, PTA is a Physical Therapy Assistant in Orange Park, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
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

540 Kingsley Ave
Orange Park, FL 32073-4847
Phone: (904) 264-2156
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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 PTA16034 (FL)

Record details

NPI number1730272162
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedSeptember 30, 2006
Last updated in NPPESJuly 8, 2007
Mailing address16161 Nw 208th Way, High Springs, FL 32643-6895

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